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首页> 外文期刊>Occupational and environmental medicine >Do workers with self-reported symptoms have an elevated risk of developing upper extremity musculoskeletal disorders three years later?
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Do workers with self-reported symptoms have an elevated risk of developing upper extremity musculoskeletal disorders three years later?

机译：三年后出现自我报告症状的工人患上肢肌肉骨骼疾病的风险增加了吗？

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OBJECTIVES: Few prospective studies have evaluated outcomes of workers with self-reported symptoms of upper extremity musculoskeletal disorders (UEMSD). The objective was to study the three-year outcomes of workers with self-reported symptoms, with or without a positive physical examination. METHODS: In 1993-4, 598 subjects highly exposed to repetitive work filled out a Nordic-style questionnaire. They underwent a standardised physical examination at that time and again in 1996-7 by the same occupational physician. The three-year outcomes (based on physical examination) of workers with a self-administered questionnaire positive at baseline for UEMSD, with or without a positive physical examination, were studied. RESULTS: The three-year incidence rate was 44.1%; one third of these incident cases had self-reported symptoms in 1993-4. Workers with a positive questionnaire had a significantly higher risk of UEMSD at physical examination three years later (80.1% UEMSD cases with positive questionnaires n = 354, vs 44.2% cases without positive questionnaires n = 69, p<0.001). Moreover, workers with positive questionnaires but without UEMSD diagnosed in 1993-4 (n = 177) also had a significantly higher risk of UEMSD at physical examination three years later (60.5% cases with positive questionnaires n = 26, vs 38.8% cases without positive questionnaires n = 52, p = 0.01). Results were similar when gender and age were taken into account. CONCLUSION: Workers highly exposed to repetitive movements have a high risk of developing UEMSD and should be followed closely in surveillance programmes. Workers with self-reported symptoms without UEMSD diagnosed in physical examination represented only one third of new cases three years later. However, their risk of developing UEMSD was significantly increased, compared with those without symptoms.
机译：目的：很少有前瞻性研究评估具有自我报告的上肢肌肉骨骼疾病（UEMSD）症状的工人的结局。目的是研究有自我报告症状的工人的三年结果，无论是否接受了积极的身体检查。方法：在1993-4年间，598名高度重复工作的受试者填写了北欧式问卷。他们在同一时间由同一位职业医生在1996-7年度进行了一次标准的身体检查。研究了在UEMSD基线时自我管理问卷为阳性的工人的三年结果（基于体格检查），无论体检是否为阳性。结果：三年发病率为44.1％。这些事件中有三分之一在1993-4年有自我报告的症状。问卷调查呈阳性的工人在三年后的体格检查中有较高的UEMSD风险（问卷调查呈阳性的UEMSD病例为n = 354，而问卷调查呈阳性的为44.2％，n = 69，p <0.001）。此外，在1993-4年拥有阳性问卷但没有UEMSD的工人（n = 177）在三年后的体格检查中也有明显更高的UEMSD风险（有阳性问卷n = 26的患者为60.5％，没有阳性的情况为38.8％）问卷n = 52，p = 0.01）。当考虑性别和年龄时，结果相似。结论：反复运动的工人极有可能患上UEMSD，并应在监视计划中密切注意。三年后，在身体检查中未诊断出UEMSD且自我报告症状的工人仅占新病例的三分之一。但是，与无症状者相比，他们患UEMSD的风险显着增加。

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