黄思, 杨燕, 朱世珩, 何易楠, 李刚, 邵华, 王如刚, 王忠旭, 王致, 贾宁. 建筑业工人作业疲劳与工作相关肌肉骨骼疾患关联性分析[J]. 职业卫生与应急救援, 2025, 43(2): 154-159. DOI: 10.16369/j.oher.issn.1007-1326.2025.240771
引用本文: 黄思, 杨燕, 朱世珩, 何易楠, 李刚, 邵华, 王如刚, 王忠旭, 王致, 贾宁. 建筑业工人作业疲劳与工作相关肌肉骨骼疾患关联性分析[J]. 职业卫生与应急救援, 2025, 43(2): 154-159. DOI: 10.16369/j.oher.issn.1007-1326.2025.240771
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HUANG Si, YANG Yan, ZHU Shiheng, HE Yinan, LI Gang, SHAO Hua, WANG Rugang, WANG Zhongxu, WANG Zhi, JIA Ning. Association between occupational fatigue and work -related musculoskeletal disorders in construction workers[J]. Occupational Health and Emergency Rescue, 2025, 43(2): 154-159. DOI: 10.16369/j.oher.issn.1007-1326.2025.240771
Citation: HUANG Si, YANG Yan, ZHU Shiheng, HE Yinan, LI Gang, SHAO Hua, WANG Rugang, WANG Zhongxu, WANG Zhi, JIA Ning. Association between occupational fatigue and work -related musculoskeletal disorders in construction workers[J]. Occupational Health and Emergency Rescue, 2025, 43(2): 154-159. DOI: 10.16369/j.oher.issn.1007-1326.2025.240771
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建筑业工人作业疲劳与工作相关肌肉骨骼疾患关联性分析

Association between occupational fatigue and work -related musculoskeletal disorders in construction workers

    摘要
  • 摘要:
    目的 分析建筑业工人工作相关肌肉骨骼疾患（WMSDs）、作业疲劳和肌肉骨骼疼痛现状，探讨作业疲劳与WMSDs的关系。
    方法 2019—2020年，采用方便抽样法，以辽宁、广东、北京等地的8家建筑企业的453名工人为研究对象，采用《中文版肌肉骨骼疾患调查表》调查其过去1年WMSDs发病情况，并采用《Borg主观疲劳感知评估量表》、视觉模拟评分法（VAS）调查其作业疲劳和肌肉骨骼疼痛情况。通过logistic回归模型分析肌肉骨骼疲劳程度与WMSDs发生风险的关系，采用独立样本t检验分析作业疲劳和局部肌肉疼痛的关系。
    结果 453名建筑业工人不分部位的WMSDs总发生率为43.7%，WMSDs发生率排名前3的部位分别是下背部（占24.1%）、肩部（占18.3%）和颈部（占14.6%）。建筑业工人不分部位的肌肉骨骼疾患疼痛VAS得分为（4.8 ±1.9）分，处于中度疼痛水平。以主观疲劳等级（RPE）得分为横坐标，分值对应的发生WMSDs的风险性（OR值）为纵坐标，构建的S型函数模型（R2=0.874）显示，随着RPE得分的逐步增加，WMSDs发生风险呈现先平缓上升，当RPE分值超过4分时，风险急剧增加，最后趋于平缓的趋势。疲劳组各部位发生WMSDs的风险增加，OR（95% CI）值分别为：颈部2.408（1.421~4.080），肩部4.362（2.592~7.343），肘部7.090（4.373~11.498），腕/手部3.932（2.168~7.132），踝/足部2.618（1.263~5.426）。发生WMSDs的工人中，各部位疲劳组的VAS得分均高于非疲劳组，其中肩部、上背部、下背部、腕/手部VAS得分差异均有统计学意义（P＜0.05）。
    结论 建筑业工人局部作业疲劳与WMSDs具有较强的相关性，降低工人疲劳程度对于WMSDs的预防作用显著。

     

    Abstract:
    Objective To analyze the prevalence of work-related musculoskeletal disorders (WMSDs), occupational fatigue, and musculoskeletal pain among construction workers, and to explore the relationship between occupational fatigue and WMSDs.
    Methods From 2019 to 2020, a convenience sampling method was used to survey 453 workers from eight construction enterprises in Liaoning, Guangdong, and Beijing. The Chinese version of the Musculoskeletal Disorders Questionnaire was used to investigate the incidence of WMSDs over the past year. The Borg Rating of Perceived Exertion Scale and the Visual Analog Scale(VAS) were employed to assess occupational fatigue and musculoskeletal pain, respectively. The logistic regression model was applied to analyze the relationship between the degree of musculoskeletal fatigue and the risk of WMSDs, while an independent samples t-test was used to examine the relationship between occupational fatigue and localized musculoskeletal pain.
    Results The overall prevalence of WMSDs (regardless of body region) among 453 workers was 43.7%. The top three body regions presenting with WMSDs were the lower back (24.1%), shoulders (18.3%), and neck (14.6%). The overall VAS score for musculoskeletal pain among construction workers was (4.8 ±1.9), indicating a moderate level of pain. An S -shaped function model (R2 = 0.874) was constructed with the rating of perceived exertion (RPE) scores as the horizontal axis and the corresponding risk of WMSDs (OR values) as the vertical axis. The model showed a gradual increase in WMSDs risk with increasing RPE scores, a sharp rise when RPE exceeded 4, and then a subsequent plateau. The occupational fatigue group had an increased risk of WMSDs by body region, with OR (95%CI) values as follows: neck, 2.408 (1.421 to 4.080); shoulders, 4.362 (2.592 to 7.343); elbows, 7.090 (4.373 to 11.498); wrists/hands, 3.932 (2.168 to 7.132); and ankles/feet, 2.618 (1.263 to 5.426). Among workers with WMSDs, VAS scores for pain were higher in the fatigued group compared to the non-fatigued group across all body regions, with statistically significant differences in the shoulders, upper back, lower back, and wrists/hands (P < 0.05).
    Conclusions Localized occupational fatigue was strongly associated with WMSDs among construction workers. Reducing these workers' fatigue levels could significantly contribute to the prevention of their WMSDs.

     

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