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妇产科医务人员工作相关肌肉骨骼疾患发病现状及姿势负荷 |
袁志伟, 崔娅, 徐相蓉, 李智民, 曹扬, 何丽华, 任利容, 张铨富, 吴晓霞, 唐丽霞, 苏放明, 姜艳华
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1. 北京大学公共卫生学院劳动卫生与环境卫生学系, 北京 100191; 2. 深圳市职业病防治院, 广东深圳 518001;3. 深圳市宝安区妇幼保健院, 广东深圳 518000; 4. 深圳市妇幼保健院, 广东深圳 518017; 5. 深圳市福田区妇幼保健院,广东深圳 518048; 6. 深圳市人民医院, 广东深圳 518020; 7. 深圳市罗湖区妇幼保健院, 广东深圳 518009
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摘 要: 目的调查分析妇产科医务人员工作相关肌肉骨骼疾患(WMSDs)的现状,并对其姿势负荷进行评价。方法以某市各级医院妇产科医务人员928人为研究对象,采用自主研发的肌肉骨骼问卷调查其WMSDs状况,在928人中随机选取51人,利用快速暴露检查法(QEC)和工作姿势与负荷分析(OWAS)评估法对其进行姿势负荷评价。结果妇产科医务人员的一个或多个部位的周患病率和年患病率分别为61.7%和85.5%,患病率排在前三位的身体部位分别为颈、肩、下背。QEC的工作负荷评价结果显示,背部负荷得分高于中等以上的人数占总人数的54.9%,肩臂占70.6%,手腕占49.0%,颈部占94.1%。OWAS的评价结果,损害较轻的占23.5%,明确损害的占7.8%。结论妇产科医务人员具有较高的WMSDs患病率,其姿势负荷较为突出,可以从推广坐位接生或手术、改善设备用品、培训正确工作姿势等方面进行姿势负荷的干预。 |
关键词: 妇产科医务人员 工作相关肌肉骨骼疾患(WMSDs) 姿势负荷 干预措施 |
中图分类号: R68
文献标识码:
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基金项目: 国家“十二·五”科技支撑项目——职业性噪声聋与骨骼肌肉损伤防治关键技术研究(课题编号:2014BAI12B03) |
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Present incidence of WMSDs and postural load in medical staff of obstetrics and gynecology |
YUAN Zhi⁃wei, CUI Ya, XV Xiang⁃rong, LI Zhi⁃min, CAO Yang, HE Li⁃hua, REN Li⁃rong, ZHANG Quan⁃fu,WU Xiao⁃xia, TANG Li⁃xia, SU Fang⁃ming, JIANG Yan⁃hua
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School of Public Health, Department of Occupational and Environmental Health, Peking University, Beijing 100191, China
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Abstract: Objective To study the status of WMSDs and evaluate their postural load in the medical staff of obstetrics and gynecology. Methods 928 medical staff of obstetrics and gynecology from various hospitals of certain city, mainly were gynecologists, obstetricians and midwives as the subjects for the survey on present status of WMSDs with the questionnaire developed by ourselves. Meanwhile, 51 persons among them were randomly selected for evaluating the postural load using QEC and OWAS methods. Results The results showed that their week and year prevalence reached 61 7% and 85 5%, respectively, the leading parts were neck, shoulder and low back. The QEC evaluation showed that the leading sites of over the median load were neck (account 94.1% of the subjects), shoulder (70. 6%), back (54. 9%), and wrist (49 0%); the OWAS evaluation further showed that: 23. 5% of them received mild damage, and 7.8% of them had obvious damage. Conclusion The results suggested that the medical staff of obstetrics and gynecology had higher WMSDs prevalence and heavier posture load, therefore, promote sitting posture to deliver or operate, improve tools and train right working posture were necessary for reducing the posture load. |
Keywords: medical staff of obstetrics and gynecology work⁃related musculoskeletal disorders (WMSDs) posture load intervention measures |