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首页> 外文期刊>Occupational and environmental medicine >Cross sectional study of a workforce exposed to hand-arm vibration: with objective tests and the Stockholm workshop scales.
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Cross sectional study of a workforce exposed to hand-arm vibration: with objective tests and the Stockholm workshop scales.

机译:受到手部振动影响的劳动力的横断面研究:客观测试和斯德哥尔摩车间规模。

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OBJECTIVES: Medical surveillance of workforces exposed to vibration has been recommended with the Stockholm workshop scales. The aims of this study were (a) to evaluate how the results of the objective tests individually and jointly associated with the final Stockholm workshop staging, (b) how this staging related to the history of exposure to vibration, and (c) how different trades were affected by the hazards from vibrating tools. METHODS: All workers exposed to vibration in a heavy engineering company were examined with a questionnaire and a battery of tests. An assessment of staging by the Stockholm workshop scales was made. Estimates of the daily exposure and lifetime dosage of vibration of the various trades were reached. RESULTS: The average years of tool use was 23.3 years (range 3-47 years) and the mean lifetime exposure was 11,022 (range 1012-46,125) hours. The individual neurological tests were all strongly associated with the Stockholm neurological staging but the cold provocation test was not associated with the Stockholm vascular staging. Neurological staging was significantly associated with age, years of tool use, and total hours of exposure to vibration, but not with trade or smoking. Vascular staging was significantly associated with age, years of tool use, total hours of exposure to vibration, and trade, but not with smoking. The mean neurological latent period was 19.7 (range 2-40) years and for the vascular component 19.1 (range 2-40) years. These means varied significantly by trade. The overall prevalence of neurological findings of 62% was greater than the overall prevalence of vascular findings, which was 33%. CONCLUSIONS: (1) The neurological objective tests were found to be of use in neurological staging. The cold provocation test was not associated with the vascular staging and therefore was of little value. (2) Years of tool use was the exposure variable most significantly associated with evidence of damage to neurological component while years of tool use and trade were the variables most associated with vascular damage. (3) The prevalence of neurological symptoms (62%) was greater than the prevalence of vascular symptoms (33%). (4) Dressers and welders have shorter latent periods than platers and fitters.
机译:目的:建议使用斯德哥尔摩工作台秤对受到振动的劳动力进行医疗监视。这项研究的目的是(a)评估客观测试的结果如何与斯德哥尔摩研讨会的最后阶段进行单独和联合的评估;(b)该阶段与暴露于振动的历史如何相关;以及(c)有何不同行业受到振动工具带来的危害的影响。方法:对一家重型工程公司中暴露于振动的所有工人进行了问卷调查和一系列测试。通过斯德哥尔摩研讨会的比例对分期进行了评估。估计了各个行业的日常暴露和振动的终生剂量。结果:工具的平均使用年限为23.3年(范围为3-47年),平均寿命为11022小时(范围为1012-46,125)小时。各个神经系统检查均与斯德哥尔摩神经系统分期密切相关,但冷激发试验与斯德哥尔摩血管分期无关。神经学分期与年龄,工具使用年限以及暴露于振动的总时间显着相关,但与贸易或吸烟无关。血管分期与年龄,工具使用年限,暴露于振动的总时间以及交易时间显着相关,但与吸烟无关。平均神经潜伏期为19.7年(范围2-40),而血管成分的平均潜伏期为19.1年(范围2-40)。这些手段因贸易而异。神经学发现的总体患病率为62%,高于血管发现的总体患病率为33%。结论:(1)发现神经系统客观测试可用于神经系统分期。冷激发试验与血管分期无关,因此价值不大。 (2)工具使用年限是与神经系统成分受损证据最相关的暴露变量,而工具使用和交易年限是与血管损害最相关的变量。 (3)神经系统症状的患病率(62%)大于血管系统症状的患病率(33%)。 (4)修整机和焊工的潜伏期比电镀工和钳工的潜伏期短。

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