系统性审查船只移动对海事工人腰部的影响
Lukas Belz1, Philipp Fritze2, Volker Harth2
1Institute for Occupational and Maritime Medicine Hamburg (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany. lukas.belz@justiz.hamburg.de.
International maritime health
|October 16, 2024
概括
海事工人,特别是渔民,由于劳累的工作和船舶移动而遭受腰部疼痛 (LBP) 的高率. 这次审查强调LBP是一个重要的职业健康问题,需要进一步调查和预防策略.
科学领域:
- 职业健康 职业健康 职业健康
- 肌肉骨系统疾病 肌肉骨系统疾病
- 海洋医学 海洋医学
背景情况:
- 海事工作带来了独特的挑战,包括船舶运动和高体力要求,导致肌肉骨应变.
- 腰部疼痛 (LBP) 是海员和渔民普遍存在的问题,影响他们的整体健康和工作能力.
研究的目的:
- 系统地审查有关船舶环境对海事工人的腰部影响的最新文献.
- 评估海员和渔民的腰部疼痛和相关健康投诉的频率.
主要方法:
- 使用PubMed数据库对2000年至2021年间发表的研究进行了系统审查.
- 确定了384项关于海上肌肉骨问题的研究,其中13项专门关注腰部问题.
- 研究的选择和评估遵循了PRISMA声明指南.
主要成果:
- 在四项研究中,生物力学分析显示了高度的身体应力和由于船体运动而需要补偿运动.
- 渔民报告说,与陆地人口 (48.63%) 相比,LBP的流行率 (60.95%-82.13%) 显著更高.
- 海员的LBP患病率 (28.42%) 比渔民和陆地工人低.
结论:
- 沉重的体力劳动与船舶运动相结合,是LBP的重要危险因素,特别是在渔民中.
- 需要进一步的研究,以了解船只在各种海事活动中对腰部运动的具体影响.
- 实施有针对性的预防策略对于降低体力苛刻的海事职业中LBP发病率至关重要.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
01:29Assessment of the Cardiovascular System II: Inspection
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
01:27Assessment of the Cardiovascular System III: Palpation
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...