电焊工肩痛危险因素分析

发布时间：2018-01-01 18:21

本文关键词：电焊工肩痛危险因素分析　出处：《疾病监测与控制》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨某汽车公司电焊工肩痛的患病情况及其影响因素。方法调查对象为某汽车公司工龄㧐1年的电焊工,且无肩部外伤及手术史。按随机抽样的原则抽取754人。先采用单因素logistic回归分析计算各危险因素的粗OR值,将单因素分析中P㩳0.10的变量作为候选变量纳入多因素logistic回归分析,建立回归模型。结果该公司电焊工肩痛的年患病率为46.29%。单因素logistic回归分析结果显示,性别(女性)、年龄、文化程度、工龄、颈前倾、颈扭转、腕弯曲、腕扭转、经常或很频繁以不舒服的姿势工作、搬举的物体远离身体、用一只手搬重物、物件难用手抓住、上肢用很大的力、上臂或手重复动作、头部重复动作、姿势不适使不上劲、寒冷或气温变化、驾驶车辆;对肩痛的发生具有抑制作用的是有工间休息。多因素logistic回归分析显示,年龄、性别、文化程度、颈前倾、以不舒服姿势工作、上肢用很大的力、寒冷或气温变化是电焊工肩痛的危险因素。结论需要采取有针对性的措施进行积极的干预。
[Abstract]:Objective to investigate the prevalence and influencing factors of shoulder pain in electric welders in a car company. One year welder, and no shoulder trauma and surgical history. According to the principle of random sampling, 754 people were selected. The rough OR value of each risk factor was calculated by univariate logistic regression analysis. In the single factor analysis, P? 0. 10% of the variables were included as candidate variables in multivariate logistic regression analysis. Results the annual prevalence rate of shoulder pain in welders was 46.29. The results of univariate logistic regression analysis showed that sex (female, age, education level, length of service). Neck forward, neck torsion, wrist bend, wrist torsion, often or very often work in uncomfortable posture, lift objects away from the body, carry heavy objects with one hand, objects difficult to grasp with hands, upper limbs with great force. The upper arm or hand repeats, the head repeats, the posture unwell causes difficulty, the cold or the temperature changes, drives the vehicle; Multivariate logistic regression analysis showed that age, sex, education, neck lean forward, uncomfortable posture to work, upper limbs with great force. Cold or temperature change is the risk factor of shoulder pain in welders.
【作者单位】：十堰市职业病防治院;十堰市西苑医院;湖北省新华医院;
【基金】：国家科技攻关项目[2014BAI12B03]
【分类号】：R135
【正文快照】： 肩痛是常见的肌肉骨骼疾患之一[1]。国外文献报道,在一般人群中,肩部MSDs的时点患病率(point prevalence)为6.9%~26.0%;月患病率(one-month prevalence)为18.6%~31.0%,年患病率为4.7%~51.0%[2-5]。在英国,1997-2000年肩部MSDs占工作有关疾病的12%[6]。肩部MSDS主要因肌肉、肌

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