杭州市萧山区3021例职业性手外伤调查分析  

Investigation and analysis of 3021 cases of occupational hand injury in Xiaoshan District, Hangzhou

作　　者：李鑫[1] 姜贻乾[1] 丁伟[1] Li Xin;Jiang Yiqian;Ding Wei(The First People's Hospital of Xiaoshan,Hangzhou 311200,China)

机构地区：[1]杭州市萧山区第一人民医院,311200

出　　处：《中华劳动卫生职业病杂志》2021年第8期623-625,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的调查杭州市萧山区职业性手外伤的发生原因并分析其特点,为制定预防措施及治疗方案提供依据。方法于2020年7月,选取萧山区2017年1月至2019年12月收治的3021例职业性手外伤患者为研究对象,收集患者的性别、年龄、受伤月份及时间段等资料,分析其与受伤原因的关系。结果在萧山区3021例职业性手外伤患者中,男性居多(男女比例2.05∶1),18~30岁受伤占比较高(1508例,49.92%)。患者因切割受伤的比例较高(1208例,39.99%),受伤部位多为掌指关节远端(2118例,70.11%),夏季受伤占比较高(1225例,40.55%),以每天8:00-16:00受伤居多(1684例,55.74%),其中11:00-12:00占29.46%(890例)。所有患者经治疗后功能恢复优良率达85.10%(2571/3021)。不同性别、年龄和季节职业性手外伤患者受伤原因分布差异均有统计学意义(P<0.01)。结论杭州市萧山区职业性手外伤患者切割伤发生较多,夏季及11:00-12:00时间段居多,企业应加强相关时间段的监督管理,尤其预防切割伤的发生。Objective To investigate the causes and characteristics of occupational hand trauma in Xiaoshan District of Hangzhou,and to provide basis for formulating preventive measures and treatment.Methods In July 2020,3021 patients with occupational hand injury treated in Xiaoshan District from January 2017 to December 2019 were selected as the research object.The data of gender,age,injury month and time period of patients with occupational hand injury were collected,and their relationship with the causes of injury was analyzed.Results Among 3021 patients with occupational hand trauma in Xiaoshan District,most of them were men(male to female ratio 2.05∶1),and the proportion of injuries from 18 to 30 years old was relatively high(1508 cases,49.92%).The proportion of patients with cutting injury was high(1208 cases,39.99%),most of the injuries were at the distal end of metacarpophalangeal joint(2118 cases,70.11%),the proportion of injuries in summer was relatively high(1225 cases,40.55%).Most of them were injured from 8:00 to 16:00 every day(1684 cases,55.74%),of which 11:00-12:00 accounted for 29.46%(890 cases).The excellent and good rate of functional recovery in all patients was 85.10%(2571/3021).There were significant differences in the distribution of injury causes among patients with occupational hand trauma in different gender,age and seasons(P<0.01).Conclusion In Xiaoshan District of Hangzhou,there are many cases of cutting injuries in patients with occupational hand injuries,with high incidence in summer and 11:00-12:00.Enterprises should strengthen the supervision and management of relevant time periods,especially to prevent the occurrence of cutting injuries.

关 键 词：手 职业伤害 手损伤 预防 病因 

分 类 号：R135[医药卫生—劳动卫生]