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[上肢重复性动作:陶瓷饰品修复工作中暴露评估与临床调查结果]

[Repetitive movements of the upper limbs: results of exposure evaluation and clinical investigation in refinishing ceramic ornaments].

作者信息

Arfaioli C, Tartaglia R, Lombardi A, Ianniello G, Camporeale P

机构信息

Servizio PISLL, Firenze.

出版信息

Med Lav. 1996 Nov-Dec;87(6):593-7.

PMID:9148115
Abstract

An evaluation was made of the degree of exposure to risk and the frequency of disorders attributable to biomechanical overload of the upper limb in workers performing finishing operation on ceramic vases and cups in a ceramics factory. The risks were first evaluated against a checklist, then subsequently an assessment was made of the tasks found to feature the highest risks, using an ergonomic analysis method, which identified activities associated with a large number of actions per minute (> 50). The 22 female workers performing the tasks in question underwent a risk-targeted physical examination which included an electroneurographic test using surface electrodes. The clinical test detected an extremely high frequency of carpal tunnel syndrome cases, in addition to other upper limb disorders. In particular, nine female workers (41%) were found to be suffering from carpal tunnel syndrome, and five (22%) from other pathologies of the upper limbs (4 scapulo-humeral periarthritis, 1 epicondylitis). As a result of the findings arising out of this study, immediate preventive measures were adopted; moreover, it has become evident that further epidemiological studies on larger sample populations are needed.

摘要

对一家陶瓷厂中从事陶瓷花瓶和杯子精加工操作的工人上肢生物力学过载所致风险暴露程度及疾病发生频率进行了评估。首先对照检查表对风险进行评估,随后使用一种人体工程学分析方法对发现风险最高的任务进行评估,该方法识别出每分钟动作次数较多(>50次)的活动。从事相关任务的22名女工接受了针对性风险的身体检查,其中包括使用表面电极进行的神经电图测试。临床测试发现,除其他上肢疾病外,腕管综合征病例的发生频率极高。特别是,发现9名女工(占41%)患有腕管综合征,5名(占22%)患有其他上肢疾病(4例肩胛肱骨周围炎,1例上髁炎)。根据本研究结果,立即采取了预防措施;此外,显然需要对更大样本群体进行进一步的流行病学研究。

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