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1981 - 1990年丹麦男性职业司机颈椎间盘突出症。一项住院情况的纵向研究。

Prolapsed cervical intervertebral disc in male professional drivers in Denmark, 1981-1990. A longitudinal study of hospitalizations.

作者信息

Jensen M V, Tüchsen F, Orhede E

机构信息

Department of Occupational Medicine, National Institute of Occupational Health, Denmark, Copenhagen, Denmark.

出版信息

Spine (Phila Pa 1976). 1996 Oct 15;21(20):2352-5. doi: 10.1097/00007632-199610150-00009.

DOI:10.1097/00007632-199610150-00009
PMID:8915070
Abstract

STUDY DESIGN

This study of professional drivers is a part of a longitudinal record linkage study of all economically active men in Denmark, identified on January 1, 1981. Information about the main occupation was identified in 1980. The cohort was followed for first hospitalization with prolapsed cervical intervertebral disc until December 31, 1990.

OBJECTIVES

To examine the risk of prolapsed cervical intervertebral disc in all Danish professional drivers, and to analyze exposures of the male drivers in a sample of all Danish male drivers.

SUMMARY OF BACKGROUND DATA

Only a few studies on occupation and prolapsed cervical intervertebral disc have been published. These studies suggest that professional driving may be a risk factor for development of prolapsed cervical intervertebral disc. Drivers are exposed to whole-body vibrations, heavy lifting, and a sedentary position. Other potential exposures are accelerations and decelerations and whiplash accidents. Such exposure may be involved in the causation of prolapsed cervical intervertebral disc.

METHODS

A standardized hospitalization ratio was calculated for each subgroup of drivers using all economically active people as the standard. Additional exposure information was extracted from a national survey on work environment.

RESULTS

Almost all men in occupations involving professional driving had a statistically significant elevated risk of being hospitalized with prolapsed cervical intervertebral disc.

CONCLUSIONS

Professional driving is a risk factor for prolapsed cervical intervertebral disc.

摘要

研究设计

这项针对职业司机的研究是对丹麦所有经济活跃男性进行的纵向记录链接研究的一部分,这些男性于1981年1月1日被确定。主要职业信息于1980年确定。该队列被随访至首次因颈椎间盘突出症住院,直至1990年12月31日。

目的

研究所有丹麦职业司机患颈椎间盘突出症的风险,并分析丹麦所有男性司机样本中男性司机的暴露因素。

背景数据总结

关于职业与颈椎间盘突出症的研究仅有少数发表。这些研究表明,职业驾驶可能是颈椎间盘突出症发病的一个风险因素。司机暴露于全身振动、重物搬运和久坐姿势。其他潜在暴露因素包括加速和减速以及鞭打事故。此类暴露可能与颈椎间盘突出症的病因有关。

方法

以所有经济活跃人群为标准,为每个司机亚组计算标准化住院率。从一项关于工作环境的全国性调查中提取额外的暴露信息。

结果

几乎所有从事职业驾驶的男性因颈椎间盘突出症住院的风险在统计学上显著升高。

结论

职业驾驶是颈椎间盘突出症的一个风险因素。

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