职业性腕管综合征的风险因素研究进展  

Advance on risk factors of occupational carpal tunnel syndrome

作　　者：赵怡然 郑亦沐 关里[1] Zhao Yiran;Zheng Yimu;Guan Li(Peking University Third Hospital's Occupational Disease Department,Beijing 100191,China)

机构地区：[1]北京大学第三医院职业病科,北京100191

出　　处：《中华劳动卫生职业病杂志》2025年第2期156-160,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：2010年国家临床重点专科建设项目(职业病);北京大学中公德善职业病发展项目。

摘　　要：腕管综合征是最常见的周围神经压迫综合征,也是一种已经得到充分研究的神经卡压综合征。根据病因学可将其发病风险因素分为个体风险因素和职业性风险因素。个体风险因素包括高龄、性别(女性)、妊娠、家族史、甲状腺功能减退、糖尿病、自身免疫性疾病、关节炎、肥胖、腕部外伤等,还与个体腕管骨骼和组织形状结构异常有关。职业性风险因素包括手及腕部作业姿势、作业强度及作业工具等,并且越来越受到职业病防治专家和管理部门关注。此外,最新研究还显示社会心理因素也可能是腕管综合征发生发展的重要因素。因此应积极开展职业性腕管综合征的预防工作,降低劳动者患病风险,尽早发现临床症状并及时进行干预。Carpal tunnel syndrome is the most common peripheral nerve compression syndrome and a well-studied form of nerve entrapment syndrome as well.According to the etiology,the risk factors can be divided into individual risk factors and occupational risk factors.Individual risk factors include older age,gender(female),pregnancy,family history,hypothyroidism,diabetes,autoimmune diseases,advanced age,obesity,and wrist trauma,they are also associated with abnormal in the shapes and structures of the wist canal bones and tissues in individuals carpal tunnel bones and tissues.Occupational risk factors include the working posture of hands and wrists,work intensity,and tools,etc.,that have attracted more and more attention from occupational disease prevention and control experts and management departments.In addition,the latest research also indicates that social psychosocial factors may also be an important factor in the occurrence and development of carpal tunnel syndrome.Therefore,it is necessary to actively carry out the prevention of occupational carpal tunnel syndrome,reduce the risk of the disease among workers and detect clinical symptoms as early as possible and intervene in time.

关 键 词：肌肉骨骼系统 工作相关肌肉骨骼疾患 腕管综合征 职业性风险因素 个体风险因素 风险预防 

分 类 号：R688[医药卫生—骨科学]