由于接触振动的手持工具而导致手和前臂疾病的风险:瑞典的一项回顾性队列研究
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Malin Zimmerman1,2, Peter Nilsson3, Mattias Rydberg4,5
1Department of Translational Medicine-Hand Surgery, Lund University, Malmö, Sweden.
BMJ open
|June 18, 2024
概括
手持的振动工具增加了男性手掌道综合征和部神经陷的风险. 暴露于振动的女性面临着触发指的更高风险,突出显示在振动暴露研究中需要进行混调整.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 手持工具的振动暴露是手和前臂疾病的已知风险因素.
- 有限的数据存在于这些条件的流行率,调整为混因素,在大量的人口队列.
- 了解这些关联对于工作场所安全和预防措施至关重要.
研究的目的:
- 分析大量人口群体中手和前臂疾病的患病率.
- 调查对振动的手持工具和特定条件的暴露之间的关联.
- 根据性别对发现进行分层,并根据相关背景因素进行调整.
主要方法:
- 使用马尔默饮食和癌症研究队列 (1991-2018) 的回顾性队列研究.
- 参与者自我报告了对振动手持工具的暴露水平 ("根本没有"",有些"",很多").
- 考克斯回归模型被用来分析与被诊断为手腕道综合征,部神经陷,触发指,杜普伊特伦病和CMC-1骨关节炎的关联,调整为混因素.
主要成果:
- 在男性中,对振动工具的"大量"暴露与手腕道综合征和部神经被困的风险增加有关.
- "大量"暴露与女性的触发指有关.
- 在振动暴露与杜普伊特伦病或CMC-1骨关节炎之间没有发现显著的关联.
结论:
- 接触手持工具的振动会增加男性手掌道综合征和部神经陷的风险.
- 暴露于振动的女性显示,触发指的风险增加.
- 在评估振动暴露风险时,对混因素的准确调整至关重要.
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