Gutierrez-Diez Maria C, Benito-Gonzalez Maria A, Sancibrian Ramon, Gandarillas-Gonzalez Marco A, Redondo-Figuero Carlos, Manuel-Palazuelos Jose C
a Department of Medicine and Psychiatry , University of Cantabria , Spain.
b Department of Nursing , Marques de Valdecilla University Hospital , Spain.
Int J Occup Saf Ergon. 2018 Mar;24(1):111-117. doi: 10.1080/10803548.2017.1337682. Epub 2017 Sep 15.
Minimally invasive surgery (MIS) has shown significant benefits for patients and healthcare systems. However, due to the poor ergonomic adaptation of operating rooms and surgical instruments, most surgeons suffer from pain caused by musculoskeletal disorders (MSDs).
A descriptive survey on MIS surgeons working in different surgical specialties has been carried out in Hospital Valdecilla (Spain). The aim is to determine the prevalence of MSDs using a personal interview and the standardized Nordic questionnaire. The study determines the prevalence of MSDs in different parts of the body and their relationship with epidemiological and labor variables. A questionnaire was filled out by 129 surgeons.
90% of surgeons reported MSDs. The higher prevalence appears in the most experienced surgeons. The most affected zones are the lower back (54%), neck (51%), upper back (44%), lower extremities (42%), right shoulder (29%) and right hand (28%).
The prevalence of MSDs is higher in MIS surgeons than in any other occupational group. The most vulnerable group is experienced surgeons and there is a potential risk that symptoms will be increased in the future. Muscle strength is revealed as a protective factor against MSDs.
微创手术（MIS）已显示出对患者和医疗保健系统具有显著益处。然而，由于手术室和手术器械的人体工程学适应性较差，大多数外科医生患有肌肉骨骼疾病（MSD）引起的疼痛。
在西班牙巴尔德西利亚医院对从事不同外科专业的微创手术外科医生进行了一项描述性调查。目的是通过个人访谈和标准化的北欧问卷来确定肌肉骨骼疾病的患病率。该研究确定了身体不同部位肌肉骨骼疾病的患病率及其与流行病学和劳动变量的关系。129名外科医生填写了一份问卷。
90%的外科医生报告患有肌肉骨骼疾病。患病率在经验最丰富的外科医生中更高。受影响最严重的部位是下背部（54%）、颈部（51%）、上背部（44%）、下肢（42%）、右肩（29%）和右手（28%）。
微创手术外科医生中肌肉骨骼疾病的患病率高于任何其他职业群体。最脆弱的群体是经验丰富的外科医生，并且未来症状有增加的潜在风险。肌肉力量被证明是预防肌肉骨骼疾病的保护因素。
