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结构化的肌肉强化炼计划和手术内有针对性的伸展微型休息:在开放性甲状腺切除和修改性激进乳房切除过程中,凝聚力地改善外科医生人体工程学
Hari K Rathee1, Jidin Joy2, Abhijith K Anil2
1Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
American journal of surgery
|July 16, 2025
概括
结构化的运动和微型休息可以减少手术师在甲状腺切除和乳腺切除等手术期间的肌肉紧张. 虽然身体工作量有所改善,但主观工作量评估显示干预后没有显著变化.
科学领域:
- 职业健康 职业健康 职业健康
- 外科手术的人体工程学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 与工作相关的肌肉骨疾病 (WMSDs) 对外科医生来说是一个日益增长的职业健康风险.
- 开放型甲状腺切除术和修改型激进乳腺切除术 (MRM) 等手术程序可能会导致这些疾病.
研究的目的:
- 评估结构化炼和手术内有针对性的伸展微型休息 (TSMB) 对外科医生的工作量的影响.
- 评估特定手术过程中对肌肉疲劳和应变的影响.
主要方法:
- 经验丰富的外科医生接受了结构化,自我管理的肌肉强化炼计划和TSMB.
- 使用电肌图 (EMG),身体部位不适调查和SURG-TLX调查问卷来测量工作负载.
- 威尔科克森标志等级测试用于分析干预前后的肌肉数据.
主要成果:
- 在干预后的MRM手术中,EMG分析表明肌肉疲劳和姿势应变减少.
- 甲状腺切除术数据显示,梯形肌活动减少,这表明部应变减少.
- 虽然身体部位不适得分有所改善,但SURG-TLX主观工作负载得分没有显著变化.
结论:
- 自主管理的结构化炼和TSMB有效地提高了肌肉效率,并减少了外科医生的肌肉紧张.
- 尽管肌肉紧张的客观改善,主观的工作负载感知仍然没有变化.
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