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煤矿井下工人腰背痛流行病学调查及相关因素分析
引用本文:张建萍,鲁世金.煤矿井下工人腰背痛流行病学调查及相关因素分析[J].实用医学杂志,2010,26(3).
作者姓名:张建萍  鲁世金
作者单位:1. 江两省萍乡市中医院骨科,337000
2. 中南大学湘雅医院脊柱外科,长沙市,410008
摘    要:目的:调查煤矿井下工人腰背疼痛发病情况及相关影响因素,为了解煤矿工人腰背痛的病因和防治研究提供科学依据.方法:对萍乡市属新岭煤矿所属矿区在册职工8 630人进行调查研究.统计腰背疼痛的发病率,与其他非煤矿人群的发病率比较是否存在统计学差异,探索影响煤矿工人腰背痛的相关因素.结果:煤矿工人腰背疼痛发病率为62.9%:井下工的发病率为:67.6%,井上工的发病率为:40.22%,二者差异具有显著性(P<0.01).经Logistic回归分析,潮湿、通风道风量和外伤是影响井下工人总体腰背痛的主要因素,β值分别为1.302、0.615和0.674,尤其对回采工最明显,β值分别为2.107、1.257和0.399. 结论:年龄、井下工龄、外伤史、吸烟、饮酒、潮湿、噪音、进风道的进风量、寒冷、震动等可能是煤矿井下工人诱发腰背痛的危险因素,其中潮湿、进风道风量和外伤史是主要危险因素;而工作服装的保暖和防潮性能是煤矿工人腰背痛发生的保护因素.

关 键 词:骨关节病  腰背疼痛  矿工  风险因子

Epidimiological investigation and analysis of risk factors in coal mine workers with back pain working underground
Zhang Jian-ping,Lu Shi-jin.Epidimiological investigation and analysis of risk factors in coal mine workers with back pain working underground[J].The Journal of Practical Medicine,2010,26(3).
Authors:Zhang Jian-ping  Lu Shi-jin
Institution:Zhang Jian-ping,Lu Shi-jin.The Orthopedic Department of the Chinese Medicine Hospital,Pingxiang,337000,China
Abstract:Objective To investigate the incidence and risk factors of back pain in coal mine workers working underground and to provide scientific basis for prevention of and treatment for the back pain of the coal miners.Methods The survey was performed at Xinling coal mine in Pingxiang.The 7 427 coal mine workers including 2 737 overground workers and 4 629 underground workers were selected.The incidence and the risk factors of them were investigated by using stratified-multistage-cluster sampling method and compare...
Keywords:Osteoarthritis  Back pain  Miner  Risk factor  
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