在脊椎外科医生中,眼睛白内障变化和手部慢性炎症变化的患病率
Yasukazu Hijikata1,2,3, Kazuta Yamashita4, Natsuko Hatsusaka5
1Spine and Low Back Pain Center, Kitasuma Hospital, Hyogo, Japan.
The Journal of bone and joint surgery. American volume
|February 18, 2025
概括
脊椎外科医生经历了大量白内障和慢性手部炎症,与辐射暴露有关. 加强辐射安全措施对于保护这些医疗专业人员至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 辐射瘤学 辐射瘤学
- 职业健康 职业健康 职业健康
背景情况:
- 辐射暴露的健康风险,特别是白内障和皮肤癌,在整形外科医生和脊椎外科医生中尚不清楚.
- 这项研究调查了这些外科医生中白内障和慢性手炎的患病率及其与辐射暴露的相关性.
研究的目的:
- 为了确定白内障和慢性手部炎症在整形外科医生和脊椎外科医生的患病率.
- 评估这些条件与职业辐射暴露之间的关联.
主要方法:
- 对162名骨科和脊椎外科医生进行了横截面研究.
- 收集了白内障,慢性手部炎症 (纵向黑色素,手部湿疹) 和辐射暴露 (按手部暴露机会分类) 的数据.
- 修改Poisson回归被用于计算调整的流行率.
主要成果:
- 40%的外科医生表现出白内障变化,38%患有慢性手部炎症.
- 在光镜室中的更高暴露与慢性手部炎症的患病率增加显著相关 (PRs从2.31到2.94).
- 在手术室中的暴露显示了最高四分位数 (PR=1.56) 中炎症增加的趋势.
结论:
- 脊椎外科医生表现出白内障变化和慢性手部炎症的高患病率,这表明直接和间接辐射暴露的影响.
- 显然需要强调辐射安全协议和外科医生的保护措施.
- 需要进一步的研究,包括比较研究和纵向观测,以充分阐明辐射对健康的影响.
更多相关视频
相关概念视频
01:25Glaucoma: Overview
1.7K
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.7K
01:22Photoreceptors and Visual Pathways
8.5K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
8.5K
01:27Diabetic Retinopathy
55
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
55
01:19Multiple Sclerosis l: Introduction
20
Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
20
01:29Herniated Intervertebral Disc l: Introduction
40
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
40
01:27Degenerative Disc Disease I: Introduction
29
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
29