Department of Reproductive Center, Second Xiangya Hospital, Central South University, Changsha, China.
PLoS One. 2013 Jul 31;8(7):e70423. doi: 10.1371/journal.pone.0070423. Print 2013.
The prolonged and frequent use of laparoscopic equipment raises ergonomic risks that may cause physical distress for surgeons. We aimed to assess the prevalence of urologic surgeons' physical distress associated with ergonomic problems in the operating room (OR) and their awareness of the ergonomic guidelines in China.
A sample of 300 laparoscopic urologists in China was assessed using a questionnaire on demographic information, ergonomic issues in the OR, musculoskeletal symptoms, and awareness of the ergonomic guidelines for the OR.
There were 241 survey respondents (86.7%) with valid questionnaires. Among the respondents, only 43.6% placed the operating table at pubic height during the actual operation. The majority of the respondents (63.5%) used only one monitor during the procedure. Only 29.9% placed the monitor below the eye level. More than half of the respondents (50.6%) preferred to use manual control instead of the foot pedal. Most of the respondents (95.0%) never used the body support. The respondents experienced discomfort in the following regions, in ascending order: leg (21.6%), hand (30.3%), wrist (32.8%), shoulder (33.6%), back (53.1%), and neck (58.1%). The respondents with over 250 total operations experienced less discomfort than those with less than 250 total operations. Most of the respondents (84.6%) were unaware of the ergonomic guidelines. However, almost all of the respondents (98.3%) regarded the ergonomic guidelines to be important in the OR.
Most of the laparoscopic urologists were not aware of the ergonomic guidelines for the OR; hence, they have been suffering from varying degrees of physical discomfort caused by ergonomic issues. There is an urgent need for education regarding ergonomic guidelines in the OR for laparoscopic urologists in China.
腹腔镜设备的长时间和频繁使用会带来人体工程学风险，可能会给外科医生带来身体不适。我们旨在评估与手术室（OR）中的人体工程学问题相关的泌尿科医生身体不适的发生率，以及他们对中国人体工程学准则的认识。
我们对中国 300 名腹腔镜泌尿科医生进行了抽样调查，使用问卷评估人口统计学信息、OR 中的人体工程学问题、肌肉骨骼症状以及对 OR 人体工程学准则的认识。
在 241 名有有效问卷的调查对象中，只有 43.6%的人在实际操作中将手术台置于耻骨高度。大多数调查对象（63.5%）在手术过程中仅使用一个监视器。只有 29.9%的人将监视器置于眼睛以下的位置。超过一半的调查对象（50.6%）更喜欢使用手动控制而不是脚踏板。大多数调查对象（95.0%）从未使用过身体支撑。调查对象感到不适的部位依次为：腿部（21.6%）、手部（30.3%）、手腕（32.8%）、肩部（33.6%）、背部（53.1%）和颈部（58.1%）。总手术量超过 250 例的调查对象比总手术量少于 250 例的调查对象感到的不适程度较轻。大多数调查对象（84.6%）不知道人体工程学准则。然而，几乎所有的调查对象（98.3%）都认为人体工程学准则在 OR 中很重要。
大多数腹腔镜泌尿科医生不知道 OR 人体工程学准则；因此，他们一直受到不同程度的由人体工程学问题引起的身体不适。中国腹腔镜泌尿科医生迫切需要接受有关 OR 人体工程学准则的教育。
