20150502脑力劳动与的职业病防治.ppt

脑力劳动与职业病防治;人类工作生活姿势面面观;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;办公室一族头枕沙发靠背，“折磨”颈椎;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;人类劳动的职业：体力劳动、脑力劳动;脑力劳动的职业特点;脑力劳动者患高血压、高血脂、高血糖、冠心病等心脑血管疾病的几率，是一般轻体力劳动人群的3-5倍，而且发病年龄年轻化;颈椎病主要分为五型：神经根型、脊髓型、交感型、椎动脉型和混合型。混合型是指两种或两种以上类型同时存在 颈椎病发病率约10％～20％，从事伏案工作者发病率最高，性别间无差异 颈椎病好发部位依次为颈5～6、颈6～7、颈7～胸1;几乎所有的办公室里，都能遇见经常说肩酸、颈痛的人，颈椎病伴随着都市生活节奏的加快，正逼近每个人，用“肆虐”这个词来描述颈椎病并不过分 现在，颈椎病的发病呈现出两大特点：一是发病率不断上升；二是中青年占发病人群的比例逐渐增大;这些改变伴随节段间活动异常及不稳定。颈椎日常活动或过度劳累将使椎间关节产生损伤，加速退变过程。骨质增生，关节突关节退变性关节病也随之而发生;1. 神经根型颈椎病 椎间关节退变累及颈神经根，颈肩臂痛并有神经根支配区感觉和运动障碍;多数好发于50岁左右。颈部损伤，长期伏案工作而劳累，或“落枕”常为发病诱因 可急性起病，也可慢性发病 症状：颈肩臂痛，向前臂或手指放射，手麻，手或臂无力感，持物不稳或失落;武汉大学中南医院病例;;桂xx，女，56岁， “颈椎病（神经根型）” 手掌、手指肌肉萎缩;;;;侧位片 C3/4椎间隙变窄;张口位 寰枢关节间隙对称;过伸位 C3/4椎间隙变窄;过屈位 C3/4椎间隙变窄;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;右侧神经根受压明显;右侧;MRI报告 C3/4-C6/7椎间盘突出 C4/5椎间盘脱出 C4/5双侧神经根受压（右