Melhorn J M
Department of Surgery, UKSM-Wichita.
Kans Med. 1994 Sep;95(9):189-92.
Recognition of the need for risk control of occupational injuries and prevention programs has led to many new studies demonstrating that occupational diseases are multifactorial in etiology, and that a specific job may not be the primary cause for occurrence. As a result of the many causes, myths about work-related injuries have developed. CTDs are the majority of occupational injuries. Individual risk factors are a better predictor of development of CTD and CTS than are job-related factors. Risk for carpal tunnel syndrome is closely related to general physical condition. Improved general health and health prevention programs may reduce an individual's risk level for developing a cumulative trauma injury. Risk measurement systems now allow employers to establish programs with measurable results. Since assessing the individual risk factors provides the best opportunity to attain the goal of prevention, the next step is for employee, employers, insurance carriers and the medical profession to establish concurrent prevention programs based on human risk factor evaluation systems.
认识到职业伤害风险控制和预防计划的必要性，已引发了许多新的研究，这些研究表明职业病在病因上是多因素的，而且特定工作可能不是发病的主要原因。由于存在多种原因，关于与工作相关伤害的误解也随之产生。累积性创伤疾病是职业伤害的主要类型。个体风险因素比与工作相关的因素更能预测累积性创伤疾病和腕管综合征的发生。腕管综合征的风险与总体身体状况密切相关。改善总体健康状况和健康预防计划可能会降低个体发生累积性创伤损伤的风险水平。风险测量系统现在使雇主能够制定出具有可衡量结果的计划。由于评估个体风险因素为实现预防目标提供了最佳机会，下一步是员工、雇主、保险公司和医疗行业基于人类风险因素评估系统建立并行的预防计划。
