Young V L, Seaton M K, Feely C A, Arfken C, Edwards D F, Baum C M, Logan S
Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
Am J Ind Med. 1995 Mar;27(3):419-31. doi: 10.1002/ajim.4700270310.
On-site testing of 157 poultry processors disclosed that 50% had three or more abnormal upper extremity findings out of a total of 22 possibles. The average worker had five to six abnormal findings. Impaired pinch strength, decreased vibration sensitivity in the fingertips, and reports of current numbness were the most prevalent. Of workers with signs, 25% reported no symptoms, whereas only 8% of workers reported symptoms but had no signs. The investigators concluded that this measurement method has utility for assessments of worker populations to determine prevalence of CTDs and, potentially, for preclinical detection of these disorders to permit early intervention, reduce medical costs, and minimize disability. The need for accurate measurement to enhance early detection and prevention is discussed.
对157名家禽加工工人进行的现场测试发现，在总共22项可能的上肢异常中，50%的人有三项或更多异常。平均每名工人有五到六项异常。捏力受损、指尖振动敏感度下降以及有手部麻木感的报告最为常见。有体征的工人中，25%报告没有症状，而只有8%的工人报告有症状但没有体征。研究人员得出结论，这种测量方法有助于评估工人群体中CTD的患病率，并且可能有助于这些疾病的临床前检测，以便进行早期干预、降低医疗成本并减少残疾。文中还讨论了进行准确测量以加强早期检测和预防的必要性。
