Musolin Kristin, Ramsey Jessica G, Wassell James T, Hard David L
National Institute for Occupational Safety and Health, Health Hazard Evaluation Technical Assistance Branch, 4676 Columbia Parkway, MS R10 Cincinnati, OH 45226, USA.
National Institute for Occupational Safety and Health, Division of Safety Research, Morgantown, WV 26501, USA.
Appl Ergon. 2014 Nov;45(6):1377-83. doi: 10.1016/j.apergo.2014.03.005. Epub 2014 May 10.
To determine prevalence of carpal tunnel syndrome (CTS) among poultry processing employees while taking into account non-occupational factors and assess any association between CTS prevalence and exposure groups.
Performed a cross-sectional survey to assess CTS (n = 318). A CTS case was defined as an employee with self-reported CTS symptoms, an abnormal hand symptom diagram, and an abnormal nerve conduction study (NCS). Log-binomial regression was used to estimate prevalence ratios.
Three hundred and one participants had sufficient symptom information or NCS data to be classified. 126 (42%) of 301 participants had evidence of CTS. In the adjusted analysis, the highest exposure group had CTS prevalence that was significantly higher than that for the lower exposure group [PR: 1.61; 95% CI = (1.20, 2.17)].
Increasing levels of hand activity and force were associated with increased CTS prevalence among participants. Recommendations were provided to reduce exposure to these risk factors.
在考虑非职业因素的情况下,确定家禽加工企业员工中腕管综合征(CTS)的患病率,并评估CTS患病率与暴露组之间的任何关联。
进行了一项横断面调查以评估CTS(n = 318)。CTS病例定义为有自我报告的CTS症状、手部症状图异常且神经传导研究(NCS)异常的员工。采用对数二项回归来估计患病率比。
301名参与者有足够的症状信息或NCS数据可供分类。301名参与者中有126名(42%)有CTS证据。在调整分析中,最高暴露组的CTS患病率显著高于较低暴露组[PR:1.61;95%CI =(1.20,2.17)]。
手部活动水平和力量的增加与参与者中CTS患病率的增加有关。提出了减少接触这些危险因素的建议。