职业性手外伤的描述性流行病学研究  

The descriptive epidemiological study of occupational hand injuries

作　　者：彭峰[1] 陈琳[1] 赵根明 顾玉东[1] 

机构地区：[1]上海医科大学附属华山医院手外科,200040

出　　处：《中华劳动卫生职业病杂志》2000年第5期273-276,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：美国中华医学基金会资助!(CMB)资助项目 (95 6 19)

摘　　要：目的　了解职业性手外伤的构成、分布特征及其影响因素。方法　对自 1997年 4月～1998年 3月在上海市华山医院就诊的 1130例急诊职业性手外伤患者进行问卷调查 ,并随机对其中5 8例患者进行随访。结果　患者平均年龄为 31.3岁 ,男女性别比为 5 .4∶1;2 0～ 5 0岁的青壮年占83 .3%。来自工业性企业患者占 6 0 %。开放性外伤占所有职业性手外伤的 93.6 % ;手指损伤占所有病例的 79.7%。 5 1.1%的患者为中、重度手外伤 ,其中机器致伤的占 49.9%。结论　职业性手外伤主要发生在青壮年男性和工业性企业中 ;机器损伤是导致中、重度职业性手外伤最常见的原因 ,应成为职业性手外伤预防的重点。Objective To study the composition,distribution and influential factors of acute occupational hand injuries. Methods From April,1997 to March,1998,1*!130 patients with acute hand injuries were investigated by questionnaire,58 patients of them were selected randomly and followed up. Results The patients were 31.3 years old in average,most of them(83.3%) were in the age of 20～50.The ratio of male to female was 5.4∶1. 60% of the patients were found in industrial enterprise.Opentrauma made up 93.6% of occupational hand injuries and finger injuries accounted for 79.7% of total patients.51.1% of the cases were Ⅱ～Ⅳ grade,and 49.9% were machine-induced injury. Conclusions Occouptional hand injuries occurred mostly in man from 20 to 50 years old and in industrial enterprise.Machine-induced hand injuries was the most common type in cases of Ⅱ～Ⅳ grade.Prevention of hand injury should be emphasized on these people.

关 键 词：手损伤 流行病学 职业性 

分 类 号：R658.201[医药卫生—外科学]