环境与职业医学2025，Vol.42Issue(3)：310-318,9.DOI:10.11836/JEOM24382
配电岗位作业人员颈肩部工作相关肌肉骨骼疾患现况及影响因素
Prevalence and influencing factors of work-related musculoskeletal disorders in neck and shoulder among power distribution workers
摘要
Abstract
[Background]Power grid is an important component of the national infrastructure.The occupa-tional health issues among the workers in this industry are attracting great concern nationwide. [Objective]To investigate the prevalence of work-related musculoskeletal disorders(WMSDs)in neck and shoulder among the power distribution workers of power supply enterprises,and analyze the related influencing factors. [Method]In April 2023,a total of 1244 workers in 50 municipal power supply bureaus were ran-domly selected from the three provinces under China Southern Power Grid using cluster sampling method.The questionnaire used in the study was based on a revised Musculoskeletal Disorders Questionnaire and added ergonomic load of upper limb work.x2 test and logistic regression model were used to explore the influencing factors of neck pain and shoulder pain among the subjects. [Results]A total of 1244 valid questionnaires were recovered and the effective recovery rate was 90.87％(1 244/1369).The positive rates of neck pain and shoulder pain were 45.5％(566 cases)and 36.3％(452 cases)respectively.The logistic regression analysis results showed that more than 20 years working age(OR=2.27,95％CI:1.39,3.96;OR=2.56,95％CI:1.53,4.26),often(OR=2.08,95％CI:1.35,3.20;OR=2.40,95％CI:1.50,3.58)/quite often(OR=2.96,95％CI:1.73,5.04;OR=2.72,95％CI:1.49,4.94)maintaining a forced posture,and working immediately after break(OR=1.72,95％CI:1.04,2.85;OR=2.14,95％CI:1.19,3.88)were associated with a higher positive rate of neck pain and shoulder pain respectively.Feeling sufficient rest(OR=0.61,95％CI:0.47,0.80;OR=0.63,95％CI:0.50,0.83)and opportunity to decide when to take breaks(OR=0.72,95％CI:0.53,0.98;OR=0.62,95％CI:0.41,0.93)were associated with a lower positive rate of neck pain and shoulder pain respectively. [Conclusion]The positive rates of neck pain and shoulder pain are high among power distribution workers.The main influencing factors included long working age,quite often maintaining a forced posture,and working immediately after break.关键词
配电岗位/工作相关肌肉骨骼疾患/颈部/肩部/作业类型/作业姿势/劳动组织Key words
power distribution/work-related musculoskeletal disorder/neck/shoulder/type of operation/work posture/labor organization分类
预防医学引用本文复制引用
刘聪汉,李敏,陈楚,刘磊,陆新,潘锐健..配电岗位作业人员颈肩部工作相关肌肉骨骼疾患现况及影响因素[J].环境与职业医学,2025,42(3):310-318,9.基金项目
广西电网公司科技项目(GXKJXM20222045) （GXKJXM20222045）
