摘要
目的研究职业环境中瞬时危险因素和急性职业性手外伤关系。方法选择广西柳州市急性职业性手外伤住院患者，应用病例交叉设计，比较伤害前90min内接触设备运行不良、不熟悉的工作、不熟悉的方法、身体不适、匆忙、注意力不集中、加班和戴手套等潜在瞬时危险因素的频率，与伤前1个月内接触的平均频率进行比较，估计瞬时危险因素对手外伤发生的影响。结果共收集266例患者（男207例，女59例）资料。平均年龄32．1岁，平均工龄190．5周。77．8％患者职业为制造业，其中女性比例（91．5％）高于男性（73．9％）（P〈0．01）。主要伤害为离断伤（27．6％）和挤压伤（27．3％）。8个瞬时危险因素与急性职业性手外伤发生有较强联系，注意力不集中的相对危险度发生率率比（IRR）值最高，为131．28（95％CI=92．25～186．84），戴手套的IRR值最低，为4．98（95％CI=3．11～7．98）。结论在柳州市急性职业性手外伤住院人群中，有8个因素与急性手外伤的发生有关。
Objective To investigate the association between transient risk factors in workplace and the occurrence of acute occupational traumatic hand injury. Methods Hospitalized patients with acute traumatic hand injuries were interviewed for exposures to eight transient risk factors in 90 minutes before injury. The exposure to transient risk factors in last work month were also asked. Case - crossover design was used to estimate the contribution of eight transient risk factors to the occurrence of acute work - related hand injury. Results In total, 266 patients completed interviews （male 207 cases, female 59 cases）. Mean of age was 32.1 years, mean of work experience was 190.5 weeks. 77.8 % of patients worked for manufacturing industries （female worker 91.5 %, male worker 73.9%, （P 〈 0.01 ）. The leading types of injuries were amputation （27.6%） and crash （27.3 % ）. Signifficant associations were found between exposure to transient risk factors and occurrence of acute hand injury. The highest IRR were 131.28 （95 % CI = 92.25 ～ 186.84） for distraction, the lowest IRRwere 4.98 （95 % CI = 3.11 ～7.98） for wearing gloves. Conclusion Singnificance of 8 transient factors contributed to occurrence of acute hand injury in workplace in Liuzhou.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2007年第12期1481-1482,共2页
Chinese Journal of Public Health
基金
广西科学基金项目(桂科自0542114)
关键词
急性职业性手外伤
瞬时危险因素
病例交叉设计
acute occupational traumatic hand injury
transient risk factors
case-crossover design.
