大棚菜农肌肉骨骼疾患及其影响因素

Analyzing the factors of influencing the muscuioskeletal disorders of greenhouse vegetable farmers

目的调查大棚菜农肌肉骨骼疾患现况并探讨危险因素。方法采用整群抽样方法，对某大棚种植区的203名菜农和邻近村庄的127名非大棚菜农的肌肉骨骼疾患进行回顾性问卷调查。结果大棚菜农肌肉骨骼疾患检出为70．0％，非大棚菜农为33．9％。大棚菜农前3位疾患依次是下背痛、膝和肩部疾患。年龄、大棚蔬菜种植年限、体重和卷帘机使用与大棚菜农肌肉骨骼疾患有统计学相关，调整后的OR值分别为1．17，1．82，1．08和0．07。结论大棚菜农肌肉骨骼疾患检出率较高，主要疾患是下背痛、膝和肩部疾患。年龄、大棚蔬菜种植年限、体重和卷帘机使用为肌肉骨骼疾患的主要影响因素。

Objective To study the prevalence of musculoskeletal disorders （MSDs） among greenhouse vegetable farmers and to explore the risk factors of MSDs. Methods A household questionnaire survey was conducted to investigate 203 greenhouse vegetable farmers and 127 non-greenhouse vegetable farmers in February, 2011. Results The one-year prevalence rates of MSDs were 70.0% and 33.9% among greenhouse vegetable farmers and non-greenhouse vegetable farmers, respectively. The three main positions of MSDs in greenhouse farmers were low back, knee （s） and shoulder （s）. Age, working years, body weight and usage of rolling machine were statistically associated with MSDs of greenhouse farmers, ORadj values were 1.17, 1.82, 1.08 and 0.07, respectively. Conclusions The prevalence of MSDs is high in greenhouse workers. Low back pain, knee（s）, and shoulder（s） disorders are the main disorders. Age, working years, body weight and usage of rolling machine are main risk factors for the development of MSDs in greenhouse farmers.