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腕管综合征——牙科面临的职业危害。

Carpal tunnel syndrome - an occupational hazard facing dentistry.

机构信息

Prosthodontics, SDM College of Dental Sciences, Dharwad, India.

出版信息

Int Dent J. 2013 Oct;63(5):230-6. doi: 10.1111/idj.12037. Epub 2013 May 23.

DOI:10.1111/idj.12037
PMID:24074016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9375022/
Abstract

BACKGROUND

The authors wished to evaluate the comprehensive literature on carpal tunnel syndrome to discover work specific to carpal tunnel syndrome among dentists in order to determine whether there is any correlation with dentists having a higher prevalence of its occurrence.

METHODS

A review of dental literature involving carpal tunnel syndrome was undertaken. Details appearing in the literature before 1995 was reviewed in a comprehensive manner and the literature after 1995 were reviewed electronically.

RESULTS

The prevalence of carpal tunnel syndrome is higher in dental professionals involved in various aspects of dental specialties.

CONCLUSIONS

Abnormal postures, including muscle imbalances, muscle necrosis, trigger points, hypomobile joints, nerve compression and spinal disk herniation or degeneration may result in serious detrimental physiological changes in the body. These changes often result in pain, injury or possible neuroskeletal disorders.

CLINICAL IMPLICATIONS

Dentists have an increased risk of carpal tunnel syndrome and precautions and care should be exercised to prevent detrimental irreversible changes occurring.

摘要

背景

作者希望评估有关腕管综合征的综合文献,以发现专门针对牙医的腕管综合征工作,以确定其发生是否与牙医的患病率有任何关联。

方法

对涉及腕管综合征的牙科文献进行了回顾。全面回顾了 1995 年以前文献中的详细信息,并通过电子方式查阅了 1995 年以后的文献。

结果

从事各种牙科专业的牙科专业人员中,腕管综合征的患病率较高。

结论

异常姿势,包括肌肉失衡、肌肉坏死、触发点、关节活动度降低、神经压迫以及椎间盘突出或退变,可能导致身体严重的有害生理变化。这些变化通常会导致疼痛、损伤或可能的神经骨骼疾病。

临床意义

牙医患腕管综合征的风险增加,应采取预防措施并谨慎护理,以防止发生有害的不可逆变化。

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Carpal tunnel syndrome.腕管综合征。
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本文引用的文献

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Carpal tunnel syndrome.腕管综合征
BMJ Clin Evid. 2010 Mar 23;2010:1114.
2
Musculoskeletal health of the woman dentist: distinctive interventions for a growing population.女牙医的肌肉骨骼健康:针对不断增长的人群的独特干预措施。
J Calif Dent Assoc. 2008 Feb;36(2):127-32.
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Mechanisms leading to musculoskeletal disorders in dentistry.导致牙科领域肌肉骨骼疾病的机制。
J Am Dent Assoc. 2003 Oct;134(10):1344-50. doi: 10.14219/jada.archive.2003.0048.
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Functional deficits in carpal tunnel syndrome.
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Prevalence of carpal tunnel syndrome and median mononeuropathy among dentists.牙医中腕管综合征和正中神经单神经病的患病率。
J Am Dent Assoc. 2001 Feb;132(2):163-70; quiz 223-4. doi: 10.14219/jada.archive.2001.0150.
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Prevalence of carpal tunnel syndrome in a general population.普通人群中腕管综合征的患病率。
JAMA. 1999 Jul 14;282(2):153-8. doi: 10.1001/jama.282.2.153.
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Conduction block in carpal tunnel syndrome.腕管综合征中的传导阻滞。
Brain. 1999 May;122 ( Pt 5):933-41. doi: 10.1093/brain/122.5.933.
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Musculoskeletal disorders in dentists.牙科医生的肌肉骨骼疾病
N Y State Dent J. 1998 Apr;64(4):44-8.
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Association of obesity, gender, age and occupation with carpal tunnel syndrome.肥胖、性别、年龄和职业与腕管综合征的关联。
Aust N Z J Surg. 1998 Mar;68(3):190-3. doi: 10.1111/j.1445-2197.1998.tb04743.x.
10
Commentary: ergonomically related disorders in dental practice.评论:牙科实践中与人体工程学相关的疾病
J Am Dent Assoc. 1998 Feb;129(2):184-6. doi: 10.14219/jada.archive.1998.0175.