- 期刊
台灣東部某醫學中心職業性肌肉骨骼疾病統計分析研究
Statistical Analysis Research on Occupational Musculoskeletal Disorders at a Medical Center in Eastern Taiwan
摘要
我國勞工因工作導致的肌肉骨骼傷害相當常見，107年全國職業傷病診治網絡職業疾病通報件數（含防治中心及網絡醫院）共2,158件，其中職業性肌肉骨骼疾病共813件，占37.7%。學界普遍認為工作時姿勢不良、過度施力、高重複性動作、振動以及低溫是造成肌肉骨骼傷害的五種主要原因；而其中只有不良的工作姿勢是較容易改善的，其餘四項成因皆難以輕易改變。本研究主要應用花蓮慈濟醫院職業醫學科於2018年6月至2022年2月所診治之428例職業性肌肉骨骼損傷個案的相關資料，統計分析職業因素誘發之肌肉骨骼疾病與性別、年齡、工作時間及工作年資等變項之相關性。研究結果顯示年資達10年以上的勞工須注意避免罹患肌肉骨骼疾病，男性罹患腰椎間盤突出的風險高於女性。女性從事易罹患腕隧道症候群之美髮等職業時，須注意自身防護；避免長時間以同一姿勢工作，導致職業病發生。
並列摘要
In Taiwan, work-related musculoskeletal injuries are quite common. A total of 2,158 cases of occupational disease were reported nationwide in 2018, and the most common occupational diseases was musculoskeletal disorders, accounting for 813 cases (37.7%). Academics generally categorize work-related musculoskeletal injuries into five main causes: poor posture, excessive force, high repetitive movements, vibrations, and low temperatures. Among these factors, poor posture is relatively easy to improve, while the other four causes are difficult to change. The main purpose of this study was to analyze the data from 428 cases of occupational musculoskeletal injuries treated from June 2018 to February 2022 at the Department of Occupational Medicine, Hualien Tzu Chi Hospital. The study investigated the correlation between occupational factors leading to musculoskeletal disorders in Eastern Taiwan's workers and variables such as gender, age, working hours and years of employment. The results revealed that musculoskeletal disorders usually developed after works for more than ten years. Additionally, risk of herniated intervertebral discs is higher among male workers than the females For female workers in professions prone to carpal tunnel syndrome, such as hairdressing, self-protection measures and avoiding prolonged periods in the same posture are essential to prevent muscle strain accumulation and occupational diseases.