Cordeiro Rafael Alves, Andrade Rogério Muniz de
. Divisão de Medicina Ocupacional, Instituto Oscar Freire, Faculdade de Medicina da Universidade de São Paulo (USP), São Paulo, SP, Brasil.
Rev Assoc Med Bras (1992). 2019 Nov 7;65(10):1314-1320. doi: 10.1590/1806-9282.65.10.1314. eCollection 2019.
To review articles that evaluated the prevalence of Raynaud's phenomenon of occupational origin.
The search for articles was carried out in the Medline (via PubMed), Embase, Web of Science, Scientific Electronic Library Online (SciELO), and Latin America and Caribbean Health Sciences Literature (Lilacs) databases.
64 articles were obtained from the electronic search; 18 articles met the eligibility criteria. All studies discussed the exposure to vibrations in the upper limbs. In 6 of them, the thermal issue was directly or indirectly addressed. No studies have addressed exposure to vinyl chloride.
In general, a higher prevalence of Raynaud's phenomenon was found among vibratory tool operators compared to non-exposed workers, with an increase in the number of cases the higher the level of vibration and the time of exposure. Cold is a triggering and aggravating factor of the Raynaud phenomenon and seems to play an important role in the emergence of vascular manifestations of the hand-arm vibration syndrome.
回顾评估职业性雷诺现象患病率的文章。
在Medline（通过PubMed）、Embase、科学引文索引、在线科学电子图书馆（SciELO）以及拉丁美洲和加勒比健康科学文献数据库（Lilacs）中检索文章。
通过电子检索获得64篇文章；18篇文章符合纳入标准。所有研究均讨论了上肢的振动暴露情况。其中6篇直接或间接涉及了热的问题。没有研究涉及氯乙烯暴露情况。
总体而言，与未暴露工人相比，振动工具操作人员中雷诺现象的患病率更高，振动水平和暴露时间越高，病例数增加。寒冷是雷诺现象的诱发和加重因素，似乎在手臂振动综合征血管表现的出现中起重要作用。
