内窥镜医师中肌肉骨骼疾病的患病率和危险因素

Allam Kh, Ahmed Ss, El-Dalatony Mm
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引用次数: 0

摘要

胃肠病学家花费相当多的时间进行内镜手术,需要重复的动作。在过去的20年里,胃肠病学家进行的内窥镜手术的数量显著增加。在内科医生中,内窥镜医师患与工作相关的肌肉骨骼疾病(WMSDs)的风险比其他不进行内窥镜检查的医生要高。工作目的:确定在埃及Menoufia省Menoufia大学、教学医院和综合医院工作的内窥镜医师及其助手中肌肉骨骼疾病(MSDs)症状的患病率,并确定其危险因素。同时,研究MSDs对他们工作和日常活动的影响。材料和方法:采用预先设计的问卷进行了一项比较横断面研究,以评估胃肠道内窥镜医师与其他未进行介入手术的医生之间的肌肉骨骼疾病。结果:本研究显示,与对照组相比,内窥镜医师的肌肉骨骼疼痛更为明显,如颈、肩、腕和非显性拇指疼痛分别为26.1%、68.7%、30.4%、52.2%、56.5%,而对照组分别为15%、17%、19%、10%、0%,差异有统计学意义(p 10年(OR=5.82;95%CI: 2.37 ~ 14.28)、手术次数>3次/天(OR=4.53;95% CI: 2.03 ~ 10.09)、单次手术持续时间>半小时(OR=3.80;95% CI: 1.60-9.04)和单手插管技术(OR=8.0;95% CI: 3.10-20.62)。结论:内窥镜检查的表现使医生面临生物力学损伤的风险。教育内窥镜医师正确的人体工程学操作,手术间隔是提高内窥镜医师生活质量所必需的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and Risk Factors for Musculoskeletal Complaints among Endoscopists
Introduction: Gastroenterologists spend considerable time performing endosᴄopicprocedures that necessitate repetitive motions. The number of endoscopic proᴄeduresperformed by gastroenterologists has increased significantly in the past 20 years.Among physicians, endoscopists faces increased risk for work-related musculoskeletaldisorders (WMSDs) compared to other physiᴄians who are not performing thisprocedure. Aim of work: To determine the prevalence of musculoskeletal disorders(MSDs) symptoms among the endoscopists and their assistants who are working inMenofia University, Teaching and General hospitals in Menoufia governorate - Egyptand to determine their risk factors. Also, to study the effects of MSDs on their workand daily activities. Materials and methods: A comparative cross-sectional study wasdone using a predesigned questionnaire to assess the musculoskeletal disorders amonggastrointestinal endoscopists who were compared with other physicians not performinginterventional procedures.Results: The present study showed that musculoskeletalcomplaints were more evident among endoscopists, e.g., neck, shoulder, wrist, andnon-dominant thumb pain showed a statistically significant difference when comparedto the control group (26.1%, 68.7%, 30.4%, 52.2%, 56.5%), respectively, compared to(15%, 17%, 19%, 10%, and 0%) respectively (p 10 years (OR=5.82; 95%CI: 2.37-14.28), number of operations >3 /day (OR=4.53;95% CI: 2.03-10.09), durationof single operation > half an hour (OR=3.80; 95% CI: 1.60-9.04) and the single handintubation technique (OR=8.0;95% CI: 3.10-20.62). Conclusion: The performance  of endoscopy puts the physicians at risk of biomechanical injury. Education of theendosᴄopists toward correct ergonomic practices, the spacing between procedures isrequired to improve the endoscopists’ quality of life.
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