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首页> 外文期刊>Occupational and environmental medicine >Prevalence of Raynaud's phenomenon in Great Britain and its relation to hand transmitted vibration: a national postal survey.
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Prevalence of Raynaud's phenomenon in Great Britain and its relation to hand transmitted vibration: a national postal survey.

机译：英国的雷诺现象盛行及其与手传递振动的关系：全国邮政调查。

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OBJECTIVES: To assess the prevalence of Raynaud's phenomenon in the general population of Great Britain and to estimate the proportion and number of cases attributable to hand transmitted vibration (HTV). METHODS: A questionnaire was posted to a random sample of 22,194 adults of working age. Information was collected on the lifetime prevalence of finger blanching, smoking habits, and occupational and leisure time exposures to HTV. Associations with risk factors were explored by logistic regression, with odds ratios converted into prevalence ratios (PRs). RESULTS: Among the 12 907 respondents, 1835 (14.2%) reported finger blanching at some time, including 1529 (11. 8%) in whom symptoms were induced by cold, and 597 (4.6%) in whom the blanched area was also clearly demarcated. Prevalences were higher in women than men. Around one fifth of cases (2% of respondents) had consulted a doctor about their symptoms. By comparison with men who had never been exposed to HTV, the PR for cold induced blanching in those exposed only at work was 2.0 (95% CI 1.7 to 2.3), and in men exposed both at work and in leisure it was 2. 5 (95% CI 2.1 to 3.1). Higher risks were found in men who consulted a doctor about cold induced blanching, among whom 37.6% of cases were estimated to arise from exposure to HTV. The estimated number of cases attributable to HTV nationally was 222 000 in men who reported extensive blanching (blanching affecting at least eight of the digits or 15 phalanges). Similar patterns of risk were found in women, but the attributable proportion was much lower (5.3% in cases consulting a doctor). CONCLUSIONS: Raynaud's phenomenon is common in the general population. Many cases are attributable to HTV, especially in men, emphasising the public health importance of this common occupational hazard.
机译：目的：评估雷诺现象在英国一般人群中的流行程度，并估计可归因于手传振动（HTV）的病例的比例和数量。方法：向22,194个工作年龄的成年人随机抽样调查表。收集了有关手指发白，吸烟习惯以及职业和休闲时间接触HTV的终生患病率的信息。通过逻辑回归探索与危险因素的关联，将比值比转换为患病率（PRs）。结果：在12 907名受访者中，有1835名（14.2％）报告称其在某一时间变白，其中包括1529名（11. 8％）因感冒引起的症状，还有597名（4.6％）的白斑也很明显。划界。女性患病率高于男性。大约五分之一的病例（占受访者的2％）曾就其症状咨询过医生。与从未接触过HTV的男性相比，仅在工作中接触的男性因冷烫引起的烫发的PR为2.0（95％CI 1.7至2.3），在工作和休闲时间接触的男性的PR为2。5 （95％CI 2.1至3.1）。向男性就寒冷引起的烫伤咨询医生的风险更高，据估计其中37.6％的病例是由接触HTV引起的。据估计，全国范围内归因于HTV的病例数量为222 000，其中报告有广泛的烫伤（烫伤至少影响了八位数或15个指骨）。在女性中发现了相似的风险模式，但是可归因的比例要低得多（在咨询医生的情况下为5.3％）。结论：雷诺现象在普通人群中很普遍。许多病例可归因于HTV，尤其是男性，这突出了这种常见职业危害对公共卫生的重要性。

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