与内镜相关的伤害的患病率和性别差异:综合系统性审查和元分析
Azizullah Beran1, Mouhand F Mohamed2, John J Guardiola1
1Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
与内镜相关的损伤 (ERI) 影响了近70%的胃肠科医生,部,背部和指疼痛是最常见的. 女性内镜师经历了更高的ERI率,突出了人体工程学培训的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 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
背景情况:
- 胃肠道科医生面临高风险的内镜相关的伤害 (ERI).
- 了解ERI的患病率和特征对于改善内镜医生的福祉至关重要.
- 肌肉骨损伤 (MSI) 是内镜手术的一个重要问题.
研究的目的:
- 为了确定胃肠病学家中ERI的总体患病率.
- 描述ERI类型和常见的治疗方法.
- 根据性别来比较ERI患病率,并比较内镜师和非内镜师之间的MSI.
主要方法:
- 通过使用PubMed,EMBASE和Web of Science的数据进行了全面的元分析.
- 包括26项研究,涉及6246名内镜医生.
- 使用随机效应模型进行比例元分析,以计算 95% 置信区间 (CI) 的聚合流行率和流行率 (PRs).
主要成果:
- 总体上,ERI的患病率为67.9%,先进的内镜显示77.8%的患病率.
- 部疼痛 (36.7%),腰部疼痛 (35.6%) 和指疼痛 (33.1%) 是最常见的ERI.
- 女性内镜师报告了更高的ERI率 (PR,1.21) 和特定的伤害,如德奎尔韦恩肌炎和手足道综合征.
结论:
- 在胃肠病学中,ERI非常普遍,性别差异显著.
- 必须将人体工程学原则纳入实践,以减少ERI风险.
- 解决ERI至关重要,特别是考虑到目前的胃肠科医生短缺.
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