天津部分三甲医院口腔科医生颈肩痛影响因素的调查

摘要

目的 分析天津市部分医院的口腔科医生颈肩痛发病情况,了解颈肩痛发病的主要因素,为降低口腔科医生颈肩痛发生率提供思路.方法 于2018年12月,选择天津医科大学总医院、天津医科大学第二医院、天津市口腔医院口腔医务工作者作为调查对象,共140例.采用自行设计的问卷进行调查,分析口腔科医生颈肩痛患病率及影响因素.共收回133份问卷,有效问卷129份,有效率为97.0%.问卷调查内容包括个人信息和颈肩痛相关信息.计量资料用±s表示,计数资料用百分率(%)表示,多因素分析采用多元logistic回归分析.结果 93.02%(120/129)调查对象出现颈肩部疼痛,颈部疼痛的发生率为34.9%(45/129),肩部疼痛发生率为31.8%(41/129),颈、肩部疼痛同时存在发生率26.4% (34/129).年龄、性别、锻炼、每日工作时间、坐姿不良、座椅不匹配、从事口腔牙周病科和口腔正畸科是口腔科医生颈肩痛发生的影响因素(P<0.05).结论 天津市部分医院口腔科医生颈肩痛的发生率较高,应鼓励口腔科医生控制接诊数量,调整工作时坐姿,合理安排工作时间,加强体育锻炼,降低自身颈肩痛的发生率.%Objective To investigate the incidence of neck and shoulder pain among dentists in several hospitals in Tianjin, China and the main factors for the onset of neck and shoulder pain, and to provide ideas for reducing the incidence rate of neck and shoulder pain in dentists. Methods In December 2018, a total of 140 dentists from General Hospital of Tianjin Medical University, The Second Hospital of Tianjin Medical Uni-versity, and Tianjin Stomatological Hospital were selected as respondents. A self-designed questionnaire was used to investigate the incidence rate of neck and shoulder pain among the dentists and related influencing fac-tors. A total of 140 questionnaires were distributed, among which 129(96.9%) were usable questionnaires. The questionnaire contained the questions on personal information and conditions of neck and shoulder pain. The continuous data were expressed as Mean±SD, and the categorical data were expressed as percentage (%). The multivariate logistic regression analysis was used to investigate influencing factors. Results Among the 129 re-spondents, 120 (93.02%) had neck and shoulder pain. The prevalence rates of neck pain alone, shoulder pain alone, and neck and shoulder pain were 34.9%(45/129), 31.8%(41/129), and 26.3%(34/129), respectively. Certain factors, such as age, sex, exercise, working time, bad sitting posture, inappropriate seat, and engage-ment in periodontology or orthodontics, had a linear relationship with the incidence rate of neck and shoulder pain among the respondents (P<0.05). Conclusion There is a high incidence rate of neck and shoulder pain a-mong the dentists in some hospitals in Tianjin. Dentists should be encouraged to control the number of consulta-tions, adjust the sitting posture during work, arrange working hours reasonably, and strengthen physical exer-cise, so as to reduce the incidence rate of neck and shoulder pain.