摘要
目的分析超声医师腕管综合征(CTS)的现状及其影响因素。方法采用判断抽样方法,选择黑龙江省5个地区33家医院的449名超声医师为研究对象。对其进行自编《肌肉骨骼疾患调查问卷》调查、手部与腕部检查、神经电生理检测和高频超声检查。结果研究对象CTS检出率为23.8%(107/449)。多因素logistic回归分析结果显示,工龄≥20年的超声医师罹患CTS的风险高于工龄<5年者,比值比及其95%置信区间为3.408(1.535~8.407)(P<0.01),受检者肥胖比例≥60%的超声医师罹患CTS的风险高于受检者肥胖比例<50%者,比值比及其95%置信区间为3.083(1.170~8.229)(P<0.05)。结论超声医师CTS检出率较高。工龄和受检者肥胖比例均是超声医师罹患CTS的独立影响因素。建议加强对高风险超声医师群体的职业健康监护,并采取优化工作方式、改善设备等综合性预防措施,以降低CTS的发生风险。
Objective To analyze the status and influencing factors of carpal tunnel syndrome(CTS)among sonographers.Methods A total of 449 sonographers from 33 hospitals across five regions in Heilongjiang Province were selected as the study subjects using the judgment sampling method.A self-designed Musculoskeletal Disorders Questionnaire was used in the survey.Hand and wrist examinations,neuro electrophysiological testing,and high-frequency ultrasonography were conducted.Results The detection rate of CTS among the participants was 23.8%(107/449).Result of multivariable logistic regression analysis showed that sonographers with≥20 years of work experience had a higher risk of CTS compared with those with<5 years,with an odds ratio(OR)and 95%confidence interval(CI)of 3.408(1.535-8.407)(P<0.01).Sonographers with a proportion of obese patients≥60%had a higher risk of CTS than those with<50%obese patients,with an OR and 95%CI of 3.083(1.170~8.229)(P<0.05).Conclusion The detection rate of CTS among sonographers is relatively high.Work experience and proportion of obese patient are independent influencing factors of CTS.It is recommended to strengthen health monitoring for high-risk sonographer groups and adopt comprehensive preventive measures,such as optimizing work approaches and improving equipment to reduce the risk of CTS.
作者
丁红
李金珠
李红梅
杨奕
张予腾
乔杨
DING Hong;LI Jinzhu;LI Hongmei;YANG Yi;ZHANG Yuteng;QIAO Yang(Heilongjiang Provincial Institute of Labor Health and Occupational Diseases,Harbin,Heilongjiang 150028,China)
出处
《中国职业医学》
2025年第4期405-409,共5页
China Occupational Medicine
基金
黑龙江省省属科研院所科研业务费项目(CZKYF2024-1-B001)。
关键词
腕管综合征
超声医师
职业因素
危险因素
Carpal tunnel syndrome
Sonographers
Occupational factors
Risk factors
