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目的:通过调查和分析院前急救护士腰椎间盘突出的患病情况,研究特殊的职业因素和生理因素对引发腰椎间盘突出的影响,并针对院前急救护士患腰椎间盘突出存在的职业危险因素提出防范性对策。方法:对本急救中心21名一线跟车护士进行问卷调查,其中年龄在20-30岁15例;30-40岁6例。分别从工龄、年龄、怀孕哺乳等不同层面进行调查。结果:21名院前急救护士中:6名护士年龄在30-40岁,4人患病,发病率为66%;13名护士在一线未间断夜班轮班达10年以上,9人患病,发病率为42.8%;9名急救护士在妊娠期(6月以内)、哺乳期(一年内)未间断跟车在一线轮班,4人患病,发病率为44.4%。结论:院前急救护士腰椎间盘突出与护士腰椎间盘突出与年龄、工龄呈正相关,怀孕、哺乳护士易发生腰椎间盘突出以及工作环境的特殊性相关。
OBJECTIVE: To investigate the influence of special occupational and physiological factors on lumbar disc herniation by investigating and analyzing the prevalence of lumbar disc herniation in pre-hospital emergency nurses and to propose occupational risk factors for lumbar disc herniation in pre-hospital emergency nurses Preventive countermeasures. Methods: Twenty-one front-line emergency ambulances conducted a questionnaire survey with car nurses, of whom 15 were aged 20-30 years and 6 were aged 30-40 years. Respectively from the length of service, age, pregnancy and breast-feeding at different levels of investigation. Results: Among the 21 pre-hospital emergency nurses, 6 nurses were 30-40 years old and 4 were sick, with a prevalence of 66%. Thirteen nurses were on the front line for more than 10 years without shift and 9 were sick, The incidence rate was 42.8%. Nine emergency nurses were involved in first-line work during pregnancy (within 6 months) and breast-feeding (within one year), with 4 persons suffering from illness and the incidence rate was 44.4%. Conclusions: Prolapse of lumbar intervertebral disc and lumbar intervertebral disc in nurses were positively correlated with age, length of service, pregnancy and nurse nurses prone to lumbar disc herniation and the particularity of working environment.