摘要
目的:调查煤矿井下工人腰背疼痛发病情况及相关影响因素,为了解煤矿工人腰背痛的病因和防治研究提供科学依据。方法:对萍乡市属新岭煤矿所属矿区在册职工8630人进行调查研究。统计腰背疼痛的发病率,与其他非煤矿人群的发病率比较是否存在统计学差异,探索影响煤矿工人腰背痛的相关因素。结果:煤矿工人腰背疼痛发病率为62.9%;井下工的发病率为:67.6%,井上工的发病率为:40.22%,二者差异具有显著性(P<0.01)。经Logistic回归分析,潮湿、通风道风量和外伤是影响井下工人总体腰背痛的主要因素,β值分别为1.302、0.615和0.674,尤其对回采工最明显,β值分别为2.107、1.257和0.399。结论:年龄、井下工龄、外伤史、吸烟、饮酒、潮湿、噪音、进风道的进风量、寒冷、震动等可能是煤矿井下工人诱发腰背痛的危险因素,其中潮湿、进风道风量和外伤史是主要危险因素;而工作服装的保暖和防潮性能是煤矿工人腰背痛发生的保护因素。
Objective To investigate the incidence and risk factors of back pain in coal mine workers working underground and to provide scientific basis for prevention of and treatment for the back pain of the coal miners. Methods The survey was performed at Xinling coal mine in Pingxiang . The 7 427 coal mine workers including 2 737 overground workers and 4 629 underground workers were selected. The incidence and the risk factors of them were investigated by using stratified-multistage-cluster sampling method and compared the overground groups to the underground groups. Results The total morbidity of back pain in that investigated coal miners was 62.9%, and that of the underground group was 67.6%, and 40.22% in overground group. There were significant difference in the two groups（P 〈 0.01）. By Logistic regression analysis, moisture, ventilation and trauma were the risk factors of the back pain in the underground workers, the β values were 1.302, 0.615 and 0.674 ,respectively. In particular, the β values of coal miners were 2.107, 1.257 and 0.399, respectively. Conclusion Age, underground working years, trauma, smoking, alcohol, moisture, noise, ventilation, cold, vibration, etc. may be the risk factors of back pain in coal mine workers. The moisture, ventilation and trauma are the main risk factors. Keeping warm and moisture-proof abilities of the overalls are the protective factors of back pain in coal mine workers.
出处
《实用医学杂志》
CAS
北大核心
2010年第3期487-490,共4页
The Journal of Practical Medicine
