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振动综合征的预防、临床及病理生理学研究

Prevention, clinical, and pathophysiological research on vibration syndrome.

作者信息

Yamada S, Sakakibara H, Harada N, Matsumoto T

机构信息

Department of Public Health, Nagoya University School of Medicine, Japan.

出版信息

Nagoya J Med Sci. 1993 Nov;56(1-4):27-41.

PMID:7898552
Abstract

In the 1950s, introduction of portable power tools into the production process of many industries began on a large scale around the world and resulted in many cases of occupational vibration syndrome after the 1960s. There was an urgent need to undertake preventive steps, medical assessment and therapy throughout the world. At the end of 1964, our investigation began in Japanese national forests, and then in mining and stone quarries. Our research and efforts resulted in a comprehensive system for prevention of vibration syndrome in the Japanese national forest industry. It has presented a good model of prevention for other industries in Japan. Clinical and pathophysiological research on vibration syndrome in the 1960s and 1970s clarified disturbances of the peripheral circulatory, nervous, and musculoskeletal systems. From the mid-1970s, neurophysiological, neurochemical, and clinical research on vibration syndrome in relation to the autonomic nervous system developed. Our studies contributed to the advancement of research in this field. More in-depth study is needed to determine the role of the autonomic nervous system in vibration syndrome.

摘要

20世纪50年代,便携式电动工具在世界许多行业的生产过程中开始大规模引入,20世纪60年代后引发了多起职业性振动综合征病例。全球迫切需要采取预防措施、进行医学评估和治疗。1964年底,我们的调查在日本国有林区展开,随后又在矿山和采石场进行。我们的研究和努力促成了日本国有林业中预防振动综合征的综合体系。它为日本其他行业提供了一个很好的预防范例。20世纪60年代和70年代对振动综合征的临床和病理生理学研究阐明了外周循环、神经和肌肉骨骼系统的紊乱。从20世纪70年代中期开始,针对与自主神经系统相关的振动综合征的神经生理学、神经化学和临床研究得到了发展。我们的研究推动了该领域的研究进展。需要更深入的研究来确定自主神经系统在振动综合征中的作用。

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