腕管综合征与工作中计算机暴露有关吗？一项综述和荟萃分析。
Is carpal tunnel syndrome related to computer exposure at work? A review and meta-analysis.
机构信息
From the Inserm (Ms Mediouni and Dr Descatha), Centre for Research in Epidemiology and Population Health, "Population-Based Epidemiological Cohorts" Research Platform, Villejuif, France; Université Versailles St-Quentin (Ms Mediouni and Dr Descatha), Versailles, France; AP-HP (Ms Mediouni, Ms de Roquemaurel, Ms Garrabe, and Dr Descatha), Occupational Health Unit/EMS (Samu92), University Hospital of West Suburb of Paris, Garches, France; Plastic and Hand Department (Ms Dumontier), Nice University, Hôpital St Roch, Nice, France; Assistance Publique - Hôpitaux de Paris (Mr Becour), Hôtel-Dieu University Hospital, Forensic Unit, Paris, France; and LUNAM Université (Mr Roquelaure), Université d'Angers, Laboratoire d'ergonomie et d'épidémiologie en santé au travail, Angers, France.
出版信息
J Occup Environ Med. 2014 Feb;56(2):204-8. doi: 10.1097/JOM.0000000000000080.
OBJECTIVE
A meta-analysis on epidemiological studies was undertaken to assess association between carpal tunnel syndrome (CTS) and computer work.
METHODS
Four databases (PubMed, Embase, Web of Science, and Base de Donnees de Sante Publique) were searched with cross-references from published reviews. We included recent studies, original epidemiological studies for which the association was assessed with blind reviewing with control group. Relevant associations were extracted, and a metarisk was calculated using the generic variance approach (meta-odds ratio [meta-OR]).
RESULTS
Six studies met the criteria for inclusion. Results are contradictory because of heterogeneous work exposure. The meta-OR for computer use was 1.67 (95% confidence interval [CI], 0.79 to 3.55). The meta-OR for keyboarding was 1.11 (95% CI, 0.62 to 1.98) and for mouse 1.94 (95% CI, 0.90 to 4.21).
CONCLUSION
It was not possible to show an association between computer use and CTS, although some particular work circumstances may be associated with CTS.
目的
对流行病学研究进行荟萃分析，以评估腕管综合征（CTS）与计算机工作之间的关联。
方法
通过交叉引用已发表的综述，在四个数据库（PubMed、Embase、Web of Science 和 Base de Donnees de Sante Publique）中进行了搜索。我们纳入了近期的研究，这些研究是原始的流行病学研究，其关联是通过盲法与对照组进行评估的。提取了相关关联，并使用通用方差方法（meta-odds ratio [meta-OR]）计算了 metarisk。
结果
有六项研究符合纳入标准。由于工作暴露存在异质性，结果存在矛盾。计算机使用的 meta-OR 为 1.67（95%置信区间 [CI]，0.79 至 3.55）。键盘输入的 meta-OR 为 1.11（95% CI，0.62 至 1.98），鼠标的 meta-OR 为 1.94（95% CI，0.90 至 4.21）。
结论
虽然某些特定的工作情况可能与 CTS 相关，但无法显示计算机使用与 CTS 之间的关联。
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