论文部分内容阅读
目的研究成人使用不同视频显示终端对其躯体症状的影响。方法选取浙江省杭州市、嘉兴市、湖州市、金华市和衢州市5个城市,采用Mitofsky-Waksberg二阶段抽样方法,拨打住宅电话对≥18岁居民进行电话调查,内容包括人口学特征、眼部和骨骼肌肉症状及使用各种视频显示终端的情况。采用多因素Logistic回归模型分析使用不同视频显示终端对眼部和骨骼肌肉症状的影响。结果共拨打固定电话号码3 464个,收集350份电话调查问卷,应答率为48.54%,拒访率为26.07%;对最终纳入的333份调查问卷进行统计分析。120名调查对象自述存在眼干、视物模糊、眼酸痛和流泪等眼部症状,占36.04%;71人自述存在骨骼肌肉症状,占21.32%。多因素Logistic回归分析结果显示,每天长时间使用电脑办公(0.5~4 h:OR=2.006,95%CI:1.021~3.943;4~6 h:OR=3.578,95%CI:1.751~7.315;>6 h:OR=4.874,95%CI:1.897~12.521),近视、老花和白内障等视力障碍疾病(OR=4.361,95%CI:2.465~7.714)是出现眼部症状的影响因素。长时间使用电脑办公(0.5~4 h:OR=3.815,95%CI:1.809~8.045;4~6 h:OR=4.974,95%CI:2.281~10.845;>6 h:OR=5.934,95%CI:2.347~15.005)、长时间使用电视机娱乐(>2 h:OR=2.051,95%CI:1.068~3.939)和女性(OR=1.884,95%CI:1.052~3.372)均是出现骨骼肌肉症状的影响因素。结论长时间使用电脑办公是出现眼部症状的危险因素,尤其是视力障碍疾病患者;长时间使用电脑办公、长时间使用电视机娱乐和女性是骨骼肌肉症状的危险因素。
Objective To study the effects of different video display terminals on somatic symptoms in adults. Methods Five cities of Hangzhou, Jiaxing, Huzhou, Jinhua and Quzhou in Zhejiang Province were selected to carry out a telephone survey on residents aged ≥18 by dialing a residential phone using the Mitofsky-Waksberg two-stage sampling method. The survey included demographic characteristics, Ministry and skeletal muscle symptoms and the use of various video display terminals. Multivariate Logistic regression models were used to analyze the effects of using different video display terminals on ocular and skeletal muscle symptoms. Results A total of 3 464 fixed telephone numbers were dialed, 350 telephone questionnaires were collected, with a response rate of 48.54% and a refusal rate of 26.07%. A statistical analysis was conducted on the 333 questionnaires finally included. 120 respondents described the presence of eye dryness, blurred vision, eye pain and tearing, and other eye symptoms, accounting for 36.04%; 71 self-reported skeletal muscle symptoms, accounting for 21.32%. Multivariate Logistic regression analysis showed that using computers for a long time everyday (0.5-4 h: OR = 2.006, 95% CI: 1.021-3.953; 4 ~ 6 h: OR = 3.578, 95% CI: 1.751-7.315; (OR = 4.361, 95% CI: 2.465-7.714) were the influencing factors of ocular symptoms. The incidence of ocular diseases such as myopia, presbyopia and cataracts was significantly higher than that of the controls (6 h: OR = 4.874,95% CI: 1.897-12.521) Long-term use of the computer office (0.5 ~ 4 h: OR = 3.815,95% CI: 1.809 ~ 8.045; 4 ~ 6 h: OR = 4.974,95% CI: 2.281 ~ 10.845; CI: 2.347-15.005), prolonged use of television (> 2 h: OR = 2.051, 95% CI: 1.068-3.939) and female (OR = 1.884, 95% CI: 1.052-3.352) Influencing factors of symptoms. Conclusions Long-term use of computers is a risk factor for ocular symptoms, especially in patients with visual impairment. Long-term use of computers, prolonged use of television, and women are risk factors for skeletal muscle symptoms.