Baldasseroni A, Tartaglia R, Carnevale F
Servizio di Prevenzione, Igiene e Sicurezza nei Luoghi di Layoro, USL. 10/D, Firenze.
Med Lav. 1995 Jul-Aug;86(4):341-51.
The aim of the study was to generate hypotheses on what could be the ISTAT (National Institute of Statistics) job classes with a major risk of carpal tunnel syndrome in order to plan more specific analytic epidemiology studies and apply more correct ergonomic solutions. A case-control cross-sectional survey without matching was carried out. The source of data were the computerized medical records of a large regional hospital: 833 carpal tunnel syndrome cases (mean age 48, SD 9.33) and 3222 controls (mean age 43.5, SD 13.22) hospitalized for other diseases, were selected. The odds ratio (OR) and 95% confidence limits, controlled for age and gender by a logistic linear regression model, were calculated as measures of association for the comparison between non-exposed managerial/administrative staff and industrial workers. The analysis showed a statistically significant risk for some ISTAT job classes, in particular class 53 (spinners, weavers, dyers and similar jobs) (OR = 2.65; C.L. 1.52-4.62) class 54 (knitters, tailors, hatmakers, upholsterers and similar jobs) (OR = 1.69; C.L. 1.06-2.71), 55 (tanners, shoemakers, leather manufacture workers and similar jobs) (OR = 2.74; C.L. 1.66-4.53) and group 742 (Hotel and restaurant cooks) (OR = 2.99; C.L. 1.45-6.13). Job classes 45 (carpenters, welders and similar jobs). 62 (electricians, electrotechnicians, radio engineers and similar jobs), 63 (gasfitters, plumbers, heating engineers and similar jobs) and 85 (porters and other jobs involving manual handling of loads) showed ORs higher than 2 but without statistical significance. The results are valid for planning further studies, especially in the textile and shoe and leather manufacturing sectors.
该研究的目的是就哪些意大利国家统计局（ISTAT）职业类别存在患腕管综合征的重大风险提出假设，以便规划更具体的分析性流行病学研究，并应用更正确的人体工程学解决方案。开展了一项非匹配的病例对照横断面调查。数据来源是一家大型地区医院的计算机化病历：选取了833例腕管综合征病例（平均年龄48岁，标准差9.33）和3222名因其他疾病住院的对照者（平均年龄43.5岁，标准差13.22）。通过逻辑线性回归模型对年龄和性别进行控制后，计算比值比（OR）和95%置信区间，作为未暴露的管理人员/行政人员与产业工人之间比较的关联度指标。分析显示，某些意大利国家统计局职业类别存在统计学上显著的风险，特别是第53类（纺纱工、织布工、染色工及类似工作）（OR = 2.65；置信区间1.52 - 4.62）、第54类（针织工、裁缝、制帽工、室内装潢工及类似工作）（OR = 1.69；置信区间1.06 - 2.71）、第55类（制革工、鞋匠、皮革制造工人及类似工作）（OR = 2.74；置信区间1.66 - 4.53）以及第742组（酒店和餐厅厨师）（OR = 2.99；置信区间1.45 - 6.13）。第45类职业（木匠、焊工及类似工作）、第62类（电工、电气技术员、无线电工程师及类似工作）、第63类（煤气装配工、水管工、供暖工程师及类似工作）和第85类（搬运工及其他涉及手动搬运货物的工作）的OR值高于2，但无统计学意义。这些结果对于规划进一步研究是有效的，尤其是在纺织、鞋类和皮革制造行业。
