CAJ | 학술논문

目的：探讨首饰厂工人肘管综合征发病率调查及职业防护改进。方法运用整群抽样的方法选取在岗的100名首饰制作工人，调查分析其临床资料。结果工作姿势正确、工作时间≤8 h/d、现工作持续时间在1~10年之间的工人的肘管综合症的发病率2.5%(1/40)、5.1%(2/39)、9.2%(7/76)均明显比工作姿势错误、工作时间>8 h/d、现工作持续时间在11~42年之间的工人13.3%(8/60)、19.7%(12/61)、41.7%(10/24)低(P<0.05)，但是年龄和性别对肘管综合症的发病率影响均不大差异无统计学意义(P>0.05)；2013年肘管综合症发病率12%(6/50)明显比2011年44%(22/50)低差异有统计学意义(P<0.05)。结论首饰厂工人肘管综合征发病率受工作姿势、每日工作时间、现工作持续时间的直接影响，加用肘关节海绵护垫有效、经济、方便，值得推广。
목적：탐토수식엄공인주관종합정발병솔조사급직업방호개진。방법운용정군추양적방법선취재강적100명수식제작공인，조사분석기림상자료。결과공작자세정학、공작시간≤8 h/d、현공작지속시간재1~10년지간적공인적주관종합증적발병솔2.5%(1/40)、5.1%(2/39)、9.2%(7/76)균명현비공작자세착오、공작시간>8 h/d、현공작지속시간재11~42년지간적공인13.3%(8/60)、19.7%(12/61)、41.7%(10/24)저(P<0.05)，단시년령화성별대주관종합증적발병솔영향균불대차이무통계학의의(P>0.05)；2013년주관종합증발병솔12%(6/50)명현비2011년44%(22/50)저차이유통계학의의(P<0.05)。결론수식엄공인주관종합정발병솔수공작자세、매일공작시간、현공작지속시간적직접영향，가용주관절해면호점유효、경제、방편，치득추엄。
Objective To investigate the incidence of cubital tunnel syndrome in jewelry factory workers and the occupation pro-tection improvement. Methods Cluster sampling method was used to select 100 incumbent jewelry making workers during the pe-riod of January, 2011 to January, 2013, and the data of them were investigated and analyzed. Results The morbidity of cubital tun-nel syndrome of workers with correct working posture, workers whose daily working time ≤ 8h, and workers with the working du-ration between 1 to 10 years was 2.5%(1/40), 5.1%(2/39), 9.2%(7/76), respectively, which was much lower than the morbidity, 13.3%(8/60) of workers with wrong working posture, 19.7%(12/61)of workers with daily working time >8h, 41.7%(10/24)of workers with working duration between 11 to 42 years, respectively (P<0.05). But the effect of age and gender on the incidence of cubital tunnel syndrome was little (P>0.05); the incidence of cubital tunnel syndrome in 2013 was 12%(6/50), which was signifi-cantly lower than 44%(22/50) in 2011(P<0.05). Conclusion The morbidity of cubital tunnel syndrome in jewelry factory workers is affected directly by working posture, daily working time, and the present working duration. Elbow sponge pad is economical and convenient, and effective for the disease, which is worth promoting.