Schenk T
Köckritz Schenk Zick Engineering Office Ltd, Berlin, Germany.
Cent Eur J Public Health. 1995;3 Suppl:113-7.
Vibration-induced damages to bones and joints are still occupational diseases with insufficient knowledge about causing and moderating factors and resulting damages. For a better understanding of these relationships also retrospective analyses of already acknowledged occupational diseases may be used. Already recorded detailed data for 203 in 1970 to 1979 acknowledged occupational diseases in the building industry and the building material industry of the GDR are the basis for the here described investigations. The data were gathered from the original documents of the occupational diseases and scaled in cooperation of an industrial engineer and an industrial physician. For the purposes of this investigations the data are to distinguish between data which describe the conditions of the work place (e.g. material, tools and posture), the exposure parameters (e.g. beginning of exposure and latency period) and the disease (e.g. anamnestical and radiological data). These data are treated for the use with sophisticated computerized statistical methods. The following analyses were carried out. Investigation of the connections between the several characteristics, which describe the occupational disease (health damages), including the comparison of the severity of the damages at the individual joints. Investigation of the side dependence of the damages. Investigation of the influence of the age at the beginning of the exposure and the age at the acknowledgement of the occupational disease and herewith of the exposure duration. Investigation of the effect of different occupational and exposure conditions.
振动引起的骨骼和关节损伤仍然是职业病,人们对其致病因素、缓解因素及由此导致的损伤了解不足。为了更好地理解这些关系,也可以对已确诊的职业病进行回顾性分析。1970年至1979年东德建筑业和建材业已记录的203例确诊职业病的详细数据是本文所述调查的基础。这些数据是从职业病原始文件中收集的,并由一名工业工程师和一名工业医生合作进行整理。为了本次调查的目的,数据要区分描述工作场所条件(如材料、工具和姿势)、接触参数(如接触开始时间和潜伏期)以及疾病(如既往史和放射学数据)的数据。这些数据将采用先进的计算机统计方法进行处理。进行了以下分析。研究描述职业病(健康损害)的几个特征之间的联系,包括比较各个关节损伤的严重程度。研究损伤的侧别依赖性。研究接触开始时的年龄和确诊职业病时的年龄以及接触持续时间的影响。研究不同职业和接触条件的影响。