Glove use and the relative risk of acute hand injury: a case-crossover study.
Glove use and the relative risk of acute hand injury: a case-crossover study.
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手套的使用和急性手部损伤的相对风险：病例交叉研究。
DOI：
10.1080/15459620490424500
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发表时间：
2004
影响因子：
2
通讯作者：
Mittleman,MurrayA
中科院分区：
文献类型：
--
作者：
Sorock,GaryS;Lombardi,DavidA;Peng,DavidK;Hauser,Russ;Eisen,EllenA;Herrick,RobertF;Mittleman,MurrayA
本研究旨在探讨手套使用与急性创伤性职业性手损伤的关系。我们采用了病例交叉、受试者内研究设计，以控制个体之间的差异，如职业、受伤史、年龄、性别、冒险行为、手动灵活性和肌肉力量。共有1166手受伤的工人进行了采访，在受伤时使用手套。自我报告的上一个工作月手套使用的平均持续时间是戴手套的预期暴露的度量。19%的受试者报告在受伤时戴手套。在过去一个工作月内使用手套的预期暴露率为27.9%。手套的使用与较低的撕裂伤和穿刺风险相关，但与挤压、骨折、撕脱、截肢、脱位无关;戴手套时，前两种损伤类型的风险估计降低60-70%。手套的使用只是全面的手部伤害预防方法的一个组成部分，该方法可能包括识别和消除尖锐危险、工程控制、安全警告、高风险情况意识培训以及手套使用的正确选择和时机。
The purpose of this study was to investigate the relationship between glove use and acute traumatic occupational hand injury. We used a case-crossover, within-subject study design to control for differences between individuals such as occupation, injury history, age, gender, risk-taking behavior, manual dexterity, and muscle strength. A total of 1166 hand-injured workers were interviewed regarding the use of gloves at the time of the injury. The self-reported average duration of glove use in the previous work month was the measure of expected exposure to wearing gloves. Nineteen percent of subjects reported wearing gloves at the time of the injury. The expected exposure to glove use in the past work month was 27.9%. Glove use was associated with a lower risk of lacerations and punctures but not crush, fractures, avulsions, amputations, dislocations; the risk of the former two injury types was estimated to be 60–70% lower while wearing gloves. Glove use is only one component of a comprehensive hand injury prevention approach that might include the identification and elimination of sharp hazards, engineering controls, safety warnings, training in high-risk situation awareness, and proper selection and timing of glove use.