平衡行为:在手术室的孕妇微血管外科医生的人体工程学挑战
Nina Patel1, Aarti Agarwal1, P Daniel Knott1
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California, USA.
The Laryngoscope
|December 19, 2025
概括
怀孕显著增加了微血管外科医生的人体工程学风险,与分娩后相比,在手术期间,肘部,部和膝盖的不安全姿势的发生率更高. 这强调了有针对性的干预措施的必要性.
科学领域:
- 外科手术的人体工程学
- 医学中的职业健康
背景情况:
- 微血管外科手术需要高精度和持续的尬姿势.
- 怀孕带来了显著的生理变化,影响了外科医生的身体能力和舒适度.
研究的目的:
- 量化评估和比较微血管外科医生在怀孕晚期与产后期间的人体工程学挑战.
- 用运动分析来识别特定的高风险姿势和肌肉骨应变.
主要方法:
- 五位微血管外科医生在妊娠36-37周和产后被评估.
- 运动分析软件 (Kinetica Labs) 评估了关节的角度,偏差和姿势的持续时间.
- 使用快速全身评估 (REBA) 和快速上肢评估 (RULA) 标准量化了人体工程学风险.
主要成果:
- 与分娩后相比,外科医生在第三季度的高风险姿势中花费的时间显著多.
- 肘部 (59%对比20%),部 (50%对比20%),膝盖 (26%对比5%) 在不安全的位置上显示出最明显的增加.
结论:
- 晚期怀孕为微血管外科医生带来了独特的,可衡量的人体工程学挑战.
- 增加危险姿势的时间需要量身定制的人体工程学解决方案和机构支持,以保障外科医生的福祉和外科性能.
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