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超声检查医师的手臂和颈部疼痛。

Arm and neck pain in ultrasonographers.

作者信息

Claes Frank, Berger Jan, Stassijns Gaëtane

机构信息

University Hospital Antwerp, Belgium

ZNA Stuivenberg, Antwerp, Belgium.

出版信息

Hum Factors. 2015 Mar;57(2):238-45. doi: 10.1177/0018720814547872. Epub 2014 Sep 2.

Abstract

OBJECTIVE

The aim of this study was to evaluate the prevalence of upper-body-quadrant pain among ultrasonographers and to evaluate the association between individual ergonomics, musculoskeletal disorders, and occurrence of neck pain.

METHOD

A hundred and ten (N = 110) Belgian and Dutch male and female hospital ultrasonographers were consecutively enrolled in the study. Data on work-related ergonomic and musculoskeletal disorders were collected with an electronic inquiry, including questions regarding ergonomics (position of the screen, high-low table, and ergonomic chair), symptoms (neck pain, upper-limb pain), and work-related factors (consecutive working hours a day, average working hours a week).

RESULTS

Subjects with the screen on their left had significantly more neck pain (odds ratio [OR] = 3.6, p = .0286). Depending on the workspace, high-low tables increased the chance of developing neck pain (OR = 12.9, p = .0246). A screen at eye level caused less neck pain (OR = .22, p = .0610). Employees with a fixed working space were less susceptible to arm pain (OR = 0.13, p = .0058). The prevalence of arm pain was significantly higher for the vascular department compared to radiology, urology, and gynecology departments (OR = 9.2, p = .0278).

CONCLUSIONS

Regarding prevention of upper-limb pain in ultrasonograph, more attention should be paid to the work environment and more specialty to the ultrasound workstation layout. Primary ergonomic prevention could provide a painless work situation for the ultrasonographer.

APPLICATION

Further research on the ergonomic conditions of ultrasonography is necessary to develop ergonomic solutions in the work environment that will help to alleviate neck and arm pain.

摘要

目的

本研究旨在评估超声检查人员上身象限疼痛的患病率,并评估个体工效学、肌肉骨骼疾病与颈部疼痛发生之间的关联。

方法

连续招募了110名比利时和荷兰的男女医院超声检查人员参与该研究。通过电子问卷收集了与工作相关的工效学和肌肉骨骼疾病数据,包括有关工效学的问题(屏幕位置、高低桌和符合人体工程学的椅子)、症状(颈部疼痛、上肢疼痛)以及与工作相关的因素(每天连续工作时间、每周平均工作时间)。

结果

屏幕在左侧的受试者颈部疼痛明显更多(优势比[OR]=3.6,p=0.0286)。根据工作空间的不同,高低桌会增加颈部疼痛的发生几率(OR=12.9,p=0.0246)。与眼睛水平齐平的屏幕导致的颈部疼痛较少(OR=0.22,p=0.0610)。工作空间固定的员工手臂疼痛的易感性较低(OR=0.13,p=0.0058)。与放射科、泌尿科和妇科相比,血管科手臂疼痛的患病率明显更高(OR=9.2,p=0.0278)。

结论

关于超声检查人员上肢疼痛的预防,应更多关注工作环境,尤其要重视超声工作站的布局。初步的工效学预防可为超声检查人员提供无痛的工作环境。

应用

有必要对超声检查的工效学条件进行进一步研究,以在工作环境中开发有助于减轻颈部和手臂疼痛的工效学解决方案。

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