摘要
目的系统评价我国职业人群加班与下背痛之间的关联性。方法在中国知网、万方数据库、维普、中国生物医学数据库以“下背痛”或“腰痛”或“肌肉骨骼疾患”和“长工时”或“加班”为组合关键词,在PubMed以(low back pain OR musculoskeletal disorder)AND(long working hour OR overtime)AND(China OR Chinese)为组合关键词,检索加班与下背痛关系的文献。检索期限为建库至2023年6月30日,检索不限语种。利用Stata 14.0软件进行meta分析。结果最终共纳入27篇文献,总样本量为75129例,异质性检验显示,I2=69.1%,Q检验P=0.000,文献存在异质性,选择随机效应模型合并OR值。合并OR值及95%CI为1.58(1.41~1.77),P<0.01。Egger’s检验表明,t=4.25,P<0.01,存在发表偏倚。采用剪补法校正后合并OR值及95%CI为1.32(1.19~1.47)。结论加班会增加劳动者患下背痛的风险,应控制劳动者工作时长,以降低下背痛的患病率。
Objective To systematically evaluate the association between overtime work and low back pain in Chinese occupational population.Methods The literatures about overtime and low back pain were searched using combined key words("low back pain"or"musculoskeletal disorder")and("longworking hours"or"overtime")in CNKI,Wanfang,VIP and CBM databases,and combined key words(low back pain OR musculoskeletal disorder)AND(long working hour OR overtime)AND(China OR Chinese)in Pubmed.The search period was from the establishment of the database until June 30,2023,and the search was not limited to any language.Meta analysis was performed using Stata l4.0.Results A total of 27 articles with a total sample size of 75129 participants were included.The heterogeneity testing showed that I2=69.1%,Q test P=0.000,showing heterogeneity in literature,therefore,a random effect model was selected in the meta analysis.The combined OR(95%CI)was 1.58(1.41-1.77),P<0.01.The Egger's test indicated t=4.25,P<0.01,with publication bias.The combined OR(95%CI)value after correction using the pruning method was 1.32(1.19-1.47).Conclusion The overtime work can increase the risk of low back pain of workers,so working hours should be controlled to reduce the prevalence of low back pain.
作者
冉宴立
凌瑞杰
郑建如
吴家兵
冯寸
尹虹
RAN Yanli;LING Ruijie;ZHENG Jianru;WU Jiabin;FENG Cun;YIN Hong(Department of Occupational Health,Shiyan Prevention and Treatment Center for Occupational Diseases,Shiyan Hubei,442000,China;Department of Occupational Diseases,Hubei Provincial Hospital of Occupational Diseases,Wuhan Hubei,430015,China;Health Management and Health Development Research Center,Hubei Medical University,Shiyan Hubei,442000,China)
出处
《职业与健康》
CAS
2024年第11期1539-1543,共5页
Occupation and Health
基金
湖北省卫生健康委员会科研项目(WJ2021F057)。
作者简介
冉宴立,女,主管医师,主要从事职业卫生工作;通信作者:尹虹,主管医师,E-mail:51289376@qq.com。
