肉类加工厂上肢肌肉骨骼疾病的危险因素评估

Diogo Cunha dos Reis, Antônio Renato Pereira Moro
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摘要

本研究的目的是利用OCRA检查表评估猪屠宰场不同肉类加工任务中上肢重复运动的相关风险。这项研究是在巴西一家养猪屠宰场进行的,该屠宰场有1000名工人,他们被分成两班。为了评估与上肢重复运动相关的风险,10%的劳动力在执行工作任务时接受了评估,使用了OCRA方法提出的检查表。采用描述性统计和学生t检验(SPSS 17.0)比较工人身体两侧的风险(p≤0.05)。生产部门分析了39项工作活动。工人的职业重复动作平均为每分钟54.5±20.8次,在OCRA量表上为7分(0至10分)。OCRA量表的平均得分为18.8±6.0分(中危)。右上肢评分(18.6 -中危)与左上肢评分(13.8 -中危)差异有统计学意义(p=0.016)。5项工作任务被认为是高风险的,29项被归类为中等风险,1项为低风险,1项为极低风险,3项为可接受风险。通过对35个作业中的32个进行模拟,只需降低作业速度,就可以将UL-WMSD风险降低到非常低的水平。在其中三个活动中,由于执行这些任务所需的体力要求很高,仅通过减少工作速度无法达到非常低的风险水平。这些结果表明,大多数猪加工任务,被划分为高(13%)和中等风险(74%),使工人更容易发生上肢与工作相关的肌肉骨骼疾病(高风险概率>21.5%,中等风险概率> 10.8%至21.5%)。通过减少工作节奏的模拟,证明了该组织措施对降低低剂量wmsds风险的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of risk factors of upper limb musculoskeletal disorders in a meat processing plant
The aim of this study was to evaluate the risks associated with repetitive movements of the upper limbs in different meat processing tasks of a pig slaughterhouse, using the OCRA Checklist. The study was conducted in a Brazilian pig slaughterhouse with 1,000 workers, divided into two work shifts. To evaluate the risks associated with repetitive movements of the upper limbs, 10% of the workforce was assessed while carrying out their work tasks, using the checklist proposed by the OCRA method. Descriptive statistics and the Student t-test (SPSS 17.0) were applied to compare the risks between both sides of the workers’ bodies (p≤0.05). There were 39 work activities analyzed from the productive sectors. The average of occupational repetitive actions performed by workers was 54.5±20.8 per minute, representing 7 points on the OCRA scale (0 to 10 points). The average score of the OCRA Checklist was 18.8±6.0 (medium risk). The scores for the right upper limb (18.6 - medium risk) differed statistically (p=0.016) from the left upper limb (13.8 - medium risk). Five work tasks were considered high risk, 29 were classified as medium risk, one as low risk, one as very low risk and three as acceptable risk. Performing simulations in 32 of the 35 activities made it possible to reduce the UL-WMSD risk to very low levels, by only decreasing the work pace. In three of the activities, a very low risk level could not be achieved by only reducing the work pace, due to the high demand for strength required to perform these tasks. These results suggest that most pig processing tasks, classified as high (13%) and medium risk (74%), predispose workers to a greater probability of developing upper limb work-related musculoskeletal disorders (>21.5% probability for high risk and 10.8 to 21.5% for medium risk). Simulations of decreasing the work pace showed the effectiveness of this organizational measure to reduce the risk of UL-WMSDs.
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