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台锯伤害:我们的安全装置真的能保障我们的安全吗?

Table Saw Injuries: Are Our Safety Features Really Keeping Us Safe?

作者信息

Smith Sarah E, Kendrick Ian, Huntsman Thomas

机构信息

1 Bassett Medical Center, Cooperstown, NY, USA.

2 Evanston Regional Hospital, WY, USA.

出版信息

Hand (N Y). 2018 Mar;13(2):181-183. doi: 10.1177/1558944717695754. Epub 2017 Mar 1.

Abstract

BACKGROUND

Currently, table saws sold in the United States have 3 safety features (riving knife, blade guard, and antikickback device) designed to prevent personal injury; however, these features can hinder the user's movements and are often disabled or removed. Despite the frequency of table saw injuries, there is relatively limited literature regarding them.

METHODS

We performed a retrospective, observational study of characteristics associated with injuries incurred while using a table saw. Electronic medical records from Bassett Medical Center were reviewed from 2002 to 2014 to identify patients who sustained table saw injury, and surveys were sent to the patients. Tests of association between survey variables (eg, presence/absence of safety device vs severity of injury) were carried out using chi-square or Fisher exact test.

RESULTS

Seventy-three percent of those injured had disabled their safety features or had no safety features present; 27% of those injured had one or more safety features enabled when they sustained the injury. Of those injured, 18% sustained a "mild" injury (skin laceration), 39% sustained a "moderate" injury (nerve or tendon injury), and 43% sustained a "severe" injury (partial or complete amputation). There was no statistically significant association between severity of the injury and presence/absence of safety features.

CONCLUSIONS

This study highlights 2 major problems with the current safety features: People are dissatisfied with current safety features, disabling them and sustaining injuries, and even when they are enabled, people are still getting injured-suggesting inadequacy of the current features.

摘要

背景

目前,在美国销售的台锯有三种安全装置(分料刀、锯片护罩和防反弹装置),旨在防止人身伤害;然而,这些装置会妨碍使用者的操作,因此常常被禁用或拆除。尽管台锯伤害事件频发,但相关文献相对较少。

方法

我们对使用台锯时受伤的相关特征进行了一项回顾性观察研究。回顾了2002年至2014年巴塞特医疗中心的电子病历,以确定遭受台锯伤害的患者,并向这些患者发送了调查问卷。使用卡方检验或费舍尔精确检验对调查变量之间的关联进行了测试(例如,安全装置的有无与伤害严重程度)。

结果

73%的受伤者禁用了安全装置或根本没有安全装置;27%的受伤者在受伤时启用了一种或多种安全装置。在这些受伤者中,18%遭受“轻度”伤害(皮肤撕裂伤),39%遭受“中度”伤害(神经或肌腱损伤),43%遭受“重度”伤害(部分或完全截肢)。伤害严重程度与安全装置的有无之间没有统计学上的显著关联。

结论

本研究突出了当前安全装置的两个主要问题:人们对当前的安全装置不满意,禁用它们并因此受伤,而且即使启用了这些装置,人们仍然会受伤,这表明当前的装置存在不足。

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本文引用的文献

1
The Impact of Safety Regulations on the Incidence of Upper-Extremity Power Saw Injuries in the United States.
J Hand Surg Am. 2017 Apr;42(4):296.e1-296.e10. doi: 10.1016/j.jhsa.2017.01.025.
2
Table saw injuries: epidemiology and a proposal for preventive measures.
Plast Reconstr Surg. 2013 Nov;132(5):777e-783e. doi: 10.1097/PRS.0b013e3182a3bfb1.

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