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未从事上肢重复性任务的工人群体中肌肉骨骼改变的发生情况。

The occurrence of musculoskeletal alterations in worker populations not exposed to repetitive tasks of the upper limbs.

作者信息

Battevi N, Menoni O, Vimercati C

机构信息

EPM Research Unit, Milan, Italy.

出版信息

Ergonomics. 1998 Sep;41(9):1340-6. doi: 10.1080/001401398186342.

DOI:10.1080/001401398186342
PMID:9754035
Abstract

A total of 749 workers (males: 139 aged between 15 and 35 years, and 171 aged > 35 years; females: 176 aged between 15 and 35 years, and 263 aged > 35 years) performing tasks not at risk for work-related musculoskeletal disorders of the upper limbs (WMSDs) underwent a clinical examination using a standardized method. The 'anamnestic cases' were defined on the basis of pain or paraesthesia present for at least 1 week during the previous 12 months, or appearing at least once a month, and not subsequent to acute trauma. The anamnestic cases among the males amounted to 4.4% (age 15-35 years) and 12.3% (age > 35 years); among the females, 4.6% (age 15-35 years) and 14.2% (age > 35 years). Of the 1498 limbs examined, the prevalent diseases reported were: suspect narrow chest syndrome: 0.3% among the males > 35 years, 0.6% among the females aged 15-35 years, 1% among the females > 35 years; scapulo-humeral periarthritis: 0.3% among the males aged > 35 years, 0.3% among the females aged 15-35 years, 1.3% among the females aged > 35 years; lateral epicondylitis: 0.3% among the males aged > 35 years, 0.2% among the females aged > 35 years; trapeziometacarpal arthrosis: 0.8% among the females aged > 35 years; wrist-hand tendinitis: 0.9% among the males aged > 35 years, 0.9% among the females aged 15-35 years; carpal tunnel syndrome: 2.5% among the females aged > 35 years. No disorders were detected outside the age ranges indicated. Several workers reported more than one disorder. The number of workers with at least one WMSD was: males 0% in the 15-35 years age range, 3.5% in the > 35 years age range; females 2.3% in the 15-35 years age range, 7.2% in the > 35 year age range; 3.9% of the total sample population. The prevalences were on average quite low, particularly among the older workers, hence the authors recommend that even minimal prevalences detected in particular work environments should not be underestimated.

摘要

共有749名从事上肢无工作相关肌肉骨骼疾病(WMSDs)风险任务的工人(男性:139名年龄在15至35岁之间,171名年龄大于35岁;女性:176名年龄在15至35岁之间,263名年龄大于35岁)接受了标准化方法的临床检查。“既往病例”根据在前12个月内存在至少1周或每月至少出现一次且非急性创伤后出现的疼痛或感觉异常来定义。男性中的既往病例占4.4%(15 - 35岁)和12.3%(年龄大于35岁);女性中,占4.6%(15 - 35岁)和14.2%(年龄大于35岁)。在检查的1498条肢体中,报告的常见疾病有:疑似窄胸综合征:35岁以上男性中占0.3%,15 - 35岁女性中占0.6%,35岁以上女性中占1%;肩胛肱骨周围炎:35岁以上男性中占0.3%,15 - 35岁女性中占0.3%,35岁以上女性中占1.3%;外侧上髁炎:35岁以上男性中占0.3%,35岁以上女性中占0.2%;大多角骨掌骨关节病:35岁以上女性中占0.8%;腕手部腱鞘炎:35岁以上男性中占0.9%,15 - 35岁女性中占0.9%;腕管综合征:35岁以上女性中占2.5%。在所示年龄范围之外未检测到疾病。几名工人报告了不止一种疾病。至少有一种WMSD的工人数量为:15 - 35岁年龄组男性为0%,大于35岁年龄组男性为3.5%;15 - 35岁年龄组女性为2.3%,大于35岁年龄组女性为7.2%;占总样本人群的3.9%。患病率平均相当低,尤其是在年长工人中,因此作者建议,即使在特定工作环境中检测到的最低患病率也不应被低估。

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