中国消化内镜医生的操作相关肌肉骨骼损伤  

A survey on the procedure-related musculoskeletal disorder in Chinese gastrointestinal endoscopists

作　　者：秦越 唐雅婷 巩尧瑶 程文芳 QIN Yue;TANG Ya-ting;GONG Yao-yao;CHENG Wen-fang(Department of Gastroenterology,Jiangsu Provincial People's Hospital and Nanjing Medical University First Affiliated Hospital,No.300 of Guangzhou Road,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院&江苏省人民医院消化内科,江苏南京210029

出　　处：《临床消化病杂志》2024年第2期114-119,共6页Chinese Journal of Clinical Gastroenterology

摘　　要：[目的]调查中国内镜医师的内镜操作相关肌肉骨骼损伤(MSD)的患病率、常见损伤部位和危险因素,并提出预防措施。[方法]通过在线调查收集来自中国8个省份各级医院的193名内镜医师的基本资料、工作量参数、MSD相关信息,以及受访者对内镜设计或预防损伤的要求,应用单因素和多因素Logistic回归分析确定与损伤相关的危险因素。[结果]参与调查的内镜医生的内镜操作相关损伤患病率为87.6%。最常见的症状部位是左手拇指、腰部和颈部。多因素Logistic回归分析表明,与损伤相关的独立危险因素是操作肠镜[优势比(OR)=3.229;95%CI,1.065~9.787;P=0.038]和每周工作时间(OR=1.192;95%CI,1.007~1.411;P=0.041)。[结论]中国消化内镜医师的操作相关MSD的患病率较高,操作肠镜和每周工作时间是2个独立危险因素。个人预防措施、合理的排班以及内镜设计的人体工程学优化有助于改善内镜工作相关的损伤。[Objective]To determine the prevalence and risk factors of endoscopy-related musculoskeletal disorder(MSD)among gastrointestinal endoscopists in China.[Methods]A questionnaire was sent to endoscopists working in multi-level hospitals in 8 provinces through online survey instrument.The survey measured endoscopist characteristics,workload parameters,MSD information,measures of preventing or easing MSD undertaken,and demands for the design of endoscopes.To identify the factors associated with musculoskeletal injuries among endoscopists,univariate and multivariate logistic regression analysis were applied with IBM SPSS Statistics software(SPSS)24.[Results]Data suggested a prevalence of 87.6%.By multivariate analysis,significant factors associated with injury were performing colonoscopy(odds ratio[OR]=3.229;95%CI,1.065-9.787;P=0.038)and weekly working time(OR=1.192;95%CI,1.007-1.411;P=0.041).[Conclusion]Among Chinese endoscopists,there is a high prevalence of musculoskeletal injuries related to endoscopy.Performing colonoscopy and weekly working time are two main risk factors of higher prevalence.Precautionary measures,flexible scheduling for weekly endoscopy cases and ergonomic optimization of the endoscopes are necessary to prevent injury development.

关 键 词：肌肉骨骼损伤 消化内镜 内镜医师 肠镜 

分 类 号：R722.14[医药卫生—儿科]