腕管综合征与手部手臂振动：一项瑞典全国注册病例对照研究。
Carpal Tunnel Syndrome and Hand-Arm Vibration: A Swedish National Registry Case-Control Study.
机构信息
Department of Geriatrics and Odensbackens Health Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (Dr Vihlborg); School of Medical Sciences, Örebro University, Örebro, Sweden (Dr Wikström); Section of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden (Dr Pettersson); Department of Ophthalmology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (Dr Makdoumi); Center for Clinical Research and Education, County Council of Värmland, Sweden (Dr Wikström); Department of Occupational and Environmental Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden (Mr Bryngelsson); Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden (Dr Selander); National Institute of Occupational Health (STAMI), Oslo, Norway (Dr Graff).
出版信息
J Occup Environ Med. 2022 Mar 1;64(3):197-201. doi: 10.1097/JOM.0000000000002451.
OBJECTIVE
To investigate the increased risk for carpal tunnel syndrome (CTS) in men and women with hand-arm vibration (HAV) exposure.
DESIGN
Case-control study of CTS where 4396 cases was obtained from National Outpatient Register between 2005 through 2016. Cases were matched to controls and exposure was estimated using a job exposure matrix.
RESULTS
Exposure to HAV increased the risk of CTS with an OR of 1.61 (95% CI 1.46-1.77). The risk was highest in men <30 years of age and among women <30 years no increased risk was observed. The risk increased with a mean year exposure above 2.5 m/s2 to OR 1.84 (95% CI 1.38-2.46).
CONCLUSIONS
HAV exposure increase the risk of CTS in both genders, with highest risk increase in younger men. This emphasize identification of HAV exposure in patients with CTS.
目的
研究手-臂振动（HAV）暴露人群中男性和女性患腕管综合征（CTS）的风险增加。
设计
这是一项 CTS 的病例对照研究，共纳入了 2005 年至 2016 年间全国门诊登记处的 4396 例病例。通过职业暴露矩阵来评估病例和对照的暴露情况。
结果
HAV 暴露增加了 CTS 的发病风险，比值比（OR）为 1.61（95%置信区间 1.46-1.77）。在 <30 岁的男性和 <30 岁的女性中，风险最高，但未观察到风险增加。随着平均每年暴露于 2.5m/s2 以上的 HAV，风险增加，比值比为 1.84（95%置信区间 1.38-2.46）。
结论
HAV 暴露增加了两性患 CTS 的风险，年轻男性的风险增加最大。这强调了在 CTS 患者中识别 HAV 暴露的重要性。
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