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牙医部疼痛的职业和非职业风险因素:系统性审查和元分析
Ehsan Rafeemanesh1, Farzad Omidi-Kashani2, Alireza Chamani3
1Department of Occupational Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
The archives of bone and joint surgery
|July 11, 2025
概括
部疼痛是牙医的重大职业风险之一. 年龄,性别,经验和姿势等因素会增加风险,而体力活动和伸展可以降低风险.
科学领域:
- 职业健康 职业健康 职业健康
- 人体工程学就是人体工程学.
- 牙科医学 牙科医学
背景情况:
- 肌肉骨系统疾病 (MSDs),特别是部疼痛,在牙科专业中是一个关键的职业健康问题.
- 确定重大风险因素对于制定有针对性的预防策略至关重要.
研究的目的:
- 系统地审查和对现有文献进行元分析,以确定牙医部疼痛相关的关键风险因素.
- 提供关于这些风险因素的流行程度和影响的定量证据.
主要方法:
- 在PubMed和Scopus上使用关键词 (子和牙医和疼痛) 进行了系统的文献搜索.
- 审查了42项横截面研究的数据,其中34项被纳入了元分析.
- 几率比率 (OR) 被计算出来,以确定每个风险因素的影响大小.
主要成果:
- 牙医部疼痛的重要风险因素包括40岁以上的年龄,女性性别,超过10年的工作经验,身高超过180厘米.
- 身体活动 (OR=0.2) 和伸展 (OR=0.6) 与显著降低部疼痛的风险有关.
- 使用振动工具 (OR=1.6) 和妥协/有害的姿势增加了部疼痛的风险.
结论:
- 年龄较大,工作经验丰富,部姿势不佳是牙医部疼痛的重要危险因素.
- 实施人体工程学改进,定期体育活动,休息时间,伸展和利用间接视觉对于减轻部疼痛风险至关重要.
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