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通过分析某卷烟厂装配线女工的主观症状研究职业性颈臂疾病的进展情况。

Studies on the progress of occupational cervicobrachial disorder by analysing the subjective symptoms of work-women in assembly lines of a cigarette factory.

作者信息

Maeda K, Hirayama H, Chang C P, Takamatsu M

出版信息

Sangyo Igaku. 1979 Sep;21(5):398-407. doi: 10.1539/joh1959.21.398.

Abstract

The Committee on Cervicobrachial Syndrome in Japan Association of Industrial Health (JAIH) made a report on the questionnaires for checking for the complaints of patients suffering from Occupational Cervicobrachial Disorder (OCD). In order to reveal how the complaints develop in the progress of OCD, we analysed the complaints of 117 workwomen in assembly lines of a cigarette factory by using the questionnaires. And the followings were made clear: 1) At the mild stage of OCD, stiffness or dullness at the neck and shoulders, and eyestrain become remarkable. 2) At the moderate stage, pain at the neck, shoulders, arms and hands, dullness at extremities, general fatigue, pain or heavy feeling in the head, increased irritability etc. become remarkable in addition to the mild stage complaints. 3) At the severe stage, pain and dullness at the back, numbness at arms and hands, hand coldness, sleep disturbance etc. become remarkable in addition to the moderate stage complaints. 4) Various sufferings in daily life such as "I want to lie down at rest time," "I lack patience to go on reading long," "It is hard for me to go on writing long," and "Fixed sitting soon tires me" become more and more frequent as the stage advances. We consider it is important in the diagnosis of OCD to pay attention to the general symptoms such as general fatigue, pain or heavy feeling in the head, increased irritability and sleep disturbance, together with complaints at the neck, shoulders, arms and hands.

摘要

日本产业卫生学会(JAIH)颈臂综合征委员会就职业性颈臂障碍(OCD)患者的症状调查问卷进行了报告。为了揭示在OCD病程中症状是如何发展的,我们通过问卷调查分析了一家卷烟厂装配线上117名职业女性的症状。结果明确如下:1)在OCD轻度阶段,颈部和肩部的僵硬或钝痛以及眼疲劳变得明显。2)在中度阶段,除了轻度阶段的症状外,颈部、肩部、手臂和手部的疼痛、四肢钝痛、全身疲劳、头痛或沉重感、易怒等增加变得明显。3)在重度阶段,除了中度阶段的症状外,背部疼痛和钝痛、手臂和手部麻木、手部发冷、睡眠障碍等变得明显。4)随着病情进展,日常生活中的各种痛苦,如“休息时我想躺下”、“长时间阅读我缺乏耐心”、“长时间写作对我来说很难”以及“久坐很快就让我疲惫”变得越来越频繁。我们认为在OCD的诊断中,除了关注颈部、肩部、手臂和手部的症状外,注意全身疲劳、头痛或沉重感、易怒增加和睡眠障碍等全身症状很重要。

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