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中风的职业风险因素:综合综述

Occupational Risk Factors for Stroke: A Comprehensive Review.

作者信息

Yang Munyoung, Yoo Hyoungseob, Kim Seo-Young, Kwon Ohwi, Nam Min-Woo, Pan Kwang Hyun, Kang Mo-Yeol

机构信息

Department of Occupational and Environmental Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Seoul, Korea.

出版信息

J Stroke. 2023 Sep;25(3):327-337. doi: 10.5853/jos.2023.01011. Epub 2023 Sep 26.

Abstract

For primary prevention, it is important for public health and clinical medicine to identify and characterize modifiable risk factors of stroke. In existing literature, the impact of occupational variables on ischemic and hemorrhagic stroke has been extensively studied. This review summarizes the available data on the significance of occupational variables in stroke. The results of this review suggest that there is sufficient evidence for the relationship between increased risk of stroke and job stress, working in extreme temperatures, long working hours, and/or shift work. The association between long working hours and occupational exposure to noise and chemicals remains inconclusive although several studies have reported this finding. This review will act as a step toward future research and provide information that may serve as a baseline for developing targeted interventions to prevent stroke in the working population.

摘要

对于一级预防而言,公共卫生和临床医学识别并描述中风的可改变风险因素非常重要。在现有文献中,职业变量对缺血性和出血性中风的影响已得到广泛研究。本综述总结了关于职业变量在中风中的重要性的现有数据。本综述结果表明,有充分证据证明中风风险增加与工作压力、在极端温度环境下工作、长时间工作和/或轮班工作之间存在关联。尽管有几项研究报告了这一发现,但长时间工作与职业性接触噪音和化学物质之间的关联仍无定论。本综述将作为迈向未来研究的一步,并提供可能作为制定针对性干预措施以预防职业人群中风的基线的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92ae/10574301/08da65f3c505/jos-2023-01011f1.jpg

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