沈阳铁路局VDT作业人员视疲劳情况调查

发布时间：2018-05-12 12:47

本文选题：VDT作业 + 视疲劳　；参考：《大连医科大学》2012年硕士论文

【摘要】：目的一，调查沈阳铁路局VDT作业人员视疲劳的情况。二，统计分析沈阳地区VDT相关视疲劳的诱因，症状，体征及临床检验结果。三，提高对VDT视疲劳的认识，有效防治VDT视疲劳。方法随机抽取2011年9月1日至2011年11月12日到沈阳铁路局大连体检中心体检主诉有眼部不适感的326名VDT作业者。首先进行问卷调查，再行裂隙灯检查，角膜荧光素钠染色，泪液分泌试验以及睑板腺功能和泪湖弯月面检查。结果一，共对326名主诉有眼部不适VDT操作者进行问卷调查，4名拒绝行进一步检查及4名未完整填写。本调查包括共318名VDT操作者，分为4个年龄组。男性为243人（76.4%），女性为75人（23.6%），男女比例3.2:1.其中男性在20-29岁年龄组人数最多，共99人，占男性总数的40.74%。女性在20-29岁年龄组人数最多，占41.33%。各组人数男性依次为20-29＞40-49大于30-39＞50-59岁组，，女性为20-29＞40-49＞50-59＞30-39岁组。男女人数调查结果进行one-way ANOVA方差检验无明显统计学意义。VDT综合征患者为115人，患病率为36.17%。二，VDT作业人员不适症状依次为颈部和腰背部酸痛/四肢麻木（80.02%）＞眼干涩（79.88%）＞不能久视/视物疲劳（59.43%）＞眼痒(53.46%)＞眼痛/眼胀(49.37%)＞记忆力减退（47.80%）＞视物模糊（46.86%）＞流泪，畏光（45.28%）＞头痛/头晕（40.57%）＞失眠（39.31%）＞眼红（38.68%）＞复视（31.45%）＞食欲减退（30.82%）＞异物感/烧灼感（27.67%）。三，VDT操作者的视疲劳与角膜染色，BUT测定，泪湖弯月面测定，SIT测定，睑板腺功能检查均相关，在0.01水平上显著相关。结论沈阳铁路局大连体检中心主诉有眼部及身体各部分不适症状的VDT操作者中VDT综合征的患病率为36.17%。VDT作业人员的不适症状主要为：颈部和腰背部酸痛/四肢麻木,眼干涩,不能久视/视物疲劳,眼痒,眼痛/眼胀,记忆力减退,视物模糊,流泪/畏光,头痛/头晕,失眠,眼红,复视,食欲减退,异物感/烧灼感。本次调查的患者以泪液分泌减少，泪膜不稳定，以及睑板腺功能异常为主要原因.
[Abstract]:Purpose First, investigate the situation of VDT operators' visual fatigue in Shenyang Railway Administration. Secondly, the causes, symptoms, signs and clinical results of VDT related visual fatigue in Shenyang area were analyzed statistically. Third, improve the understanding of VDT visual fatigue, effectively prevent and cure VDT visual fatigue. Method From September 1, 2011 to November 12, 2011, a total of 326 VDT operators were selected from Dalian physical examination Center of Shenyang Railway Administration. A questionnaire survey was carried out, followed by slit lamp examination, corneal fluorescein sodium staining, tear secretion test, meibomian gland function and lacrimal lake meniscus examination. Result The results were as follows: 1. A questionnaire survey was conducted among 326 VDT operators who complained of ocular discomfort. 4 patients refused to perform further examination and 4 did not complete the examination. The study included 318 VDT operators divided into 4 age groups. There were 243 men and 75 women. The ratio of men to women was 3.2: 1. The number of males in the 20-29 age group was the highest, accounting for 99, accounting for 40.74% of the total male population. The number of women in the 20-29 age group was the highest, at 41. 33. The number of male was 20-29 > 40-49 > 30-39 > 50-59 years old, and that of female was 20-29 > 40-49 > 50-59 > 30-39 years old. There was no significant difference between male and female in one-way ANOVA variance test. There were 115 patients with VDT syndrome and the prevalence rate was 36.17. The discomfort symptoms of VDT workers were neck and waist back ache / limb numbness 80.02) > dry eye 79.88) > not long-sighted / visual fatigue 59.43) > eye itching 53.46) > eye pain / eye distention 49.3737) > memory loss 47.80) > blurred vision 46.86) > tears. Photophobia 45.28) > headache / dizziness 40.57) > insomnia 39.31) > eye red 38.68) > compound vision 31.45) > anorexia 30.82) > foreign body sensation / burning sensation 27.67. The visual fatigue of VDT operators was correlated with corneal stain but, lacrimal lake meniscus and tarsal gland function, and was significantly correlated at 0.01 level. Conclusion The main complaint of Dalian physical examination Center of Shenyang Railway Administration was the prevalence of VDT syndrome among VDT operators with symptoms of eye and body discomfort. The main symptoms of 36.17%.VDT workers were pain in neck and waist and back, numbness in limbs, dry and astringent eyes. Not long-sighted / visual fatigue, itching, eye pain / swelling, memory loss, blurred vision, tears / photophobia, headache / dizziness, insomnia, eye redness, diplopia, loss of appetite, foreign body sensation / burning sensation. The main causes were reduced tear secretion, unstable tear film and abnormal tarsal gland function.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R131

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