2002 두원정공 사업장의 근골격계 직업병 실태 및 작업환경 평가

206

Transcript of 2002 두원정공 사업장의 근골격계 직업병 실태 및 작업환경 평가

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    1. 1)

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    . 2002 11

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    1990

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    NIOSH 1 1635(82.37%)

    , NIOSH 2 738(37.18%)

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    (signs)

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    (

    ) 1996

    506 33.1%

    . 1999 410

    17.6%

    ( 3).

    (%)1)

    (%)2)

    1996

    1997

    1998

    1999

    439,900

    429,800

    391,900

    372,300

    281,100(64.0)

    279,600(64.0)

    253,300(64.6)

    246,700(66.3)

    1,529

    1,424

    1,288

    2,333

    506(33.1)

    221(15.5)

    123( 9.5)

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    (1989)

    (28.6%), (25.5%), (5.2%), (2.8%), (2.4%)

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    23.8%

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    3,220 NIOSH

    32.2% ,

  • - 31 -

    45.7% . (1997)

    29.0% , (1998)

    / 36.2%, /

    10.3% 3

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    ( , 2000) 2000

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    OSHA 200 Logs' ( ) 1981

    (

    ) 23,000 15 1995 13.4 308,200

    62.3%

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    20% 1995 1999

    , 60%

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    16%

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    27.4%-32.6% ( 4).

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  • - 32 -

    64(10.6) 36(5.7) 24(4.2) 11(1.9)

    / 84(13.8) 77(12.3) 95(17.2) 81(14.2)

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  • - 38 -

    =(1+2)*3+(3+4+5)*2

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  • - 39 -

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  • - 40 -

    3.

    3-1.

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    .( 6, 7)

    (%)

    427 97.5

    0 11 2.5

    37.6 5.7 5

    35 125 28.9

    35-39 170 39.3

    40 138 31.9

    (Cm) 170.1 6.0 8

    (Kg) 67.9 8.7 5

    23.5 2.5 10

    BMI(kg/m2) 20 31 7.2

    20-24 287 67.1

    25 110 25.7

    (1)

  • - 41 -

    (%) (%)

    122 28.4

    70 16.3 8

    238 55.4

    59 13.8

    1 85 19.9

    1-2 236 55.3 11

    3-5 42 9.8

    1 5 1.2

    34 7.9

    7 397 92.1

    214 50.8

    17 207 49.2

    (2)

    3-1-2.

    .( 8, 9, 10)

    (387)

    / 40 12.4

    31 339 87.6

    (28)

    8 28.6

    20 71.4

    431 99.5

    5 1 0.2

    1 0.2

    10 85 19.4

    010-14 240 54.8

    15 113 25.8

    (1)

  • - 42 -

    9.9 0.35 4

    53.7 14.2 241

    , 65.9 27.0 17

    12.7 3.98 0

    (2)

    90 20.69

    3VE 158 36.32

    PE 97 22.30

    90 20.69

    3-1-3.

    ,

    .( 11, 12)

  • - 43 -

    1 2 3 4

    218

    (49.77)

    181

    (41.32)

    36

    (8.22)

    9

    (2.05)

    7

    (1.60)

    257

    (58.68)

    223

    (50.91)

    62

    (14.16)

    20

    (4.57)

    16

    (3.65)

    /113

    (25.80)

    97

    (22.15)

    9

    (2.05)

    3

    (0.68)

    2

    (0.46)

    /194

    (44.29)

    152

    (34.70)

    26

    (5.94)

    4

    (0.1)

    3

    (0.68)

    /295

    (67.35)

    236

    (53.88)

    64

    (14.61)

    10

    (2.28)

    9

    (2.05)

    /194

    (44.29)

    161

    (36.76)

    27

    (6.16)

    2

    (0.46)

    2

    (0.46)

    /54

    (12.33)

    47

    (10.73)

    13

    (2.97)

    3

    (0.68)

    3

    (0.68)

    /107

    (24.43)

    95

    (21.69)

    22

    (5.02)

    5

    (1.14)

    5

    (1.14)

    408

    (93.15)

    370

    (84.47)

    138

    (31.51)

    32

    (7.31)

    28

    (6.39)

    ( ) : %

    1 2 3 4

    83

    (92.22)

    73

    (81.11)

    28

    (31.11)

    7

    (7.78)

    5

    (5.56)

    VE155

    (98.10)

    144

    (91.14)

    52

    (32.91)

    15

    (9.49)

    13

    (8.23)

    PE88

    (90.72)

    77

    (79.38)

    29

    (29.90)

    6

    (7.19)

    6

    (6.19)

    79

    (87.78)

    73

    (81.11)

    28

    (31.11)

    4

    (4.44)

    4

    (4.44)

    . ( 13, 14)

  • - 44 -

    /

    //

    /

    //

    ,

    ,

    ,

    ,

    ,

    218

    (50.46)

    257

    (59.22)

    113

    (26.28)

    194

    (45.22)

    295

    (68.45)

    194

    (45.75)

    54

    (12.89)

    107

    (25.18)

    214

    (49.54)

    177

    (40.78)

    317

    (73.72)

    235

    (54.78)

    136

    (31.55)

    230

    (54.25)

    365

    (87.11)

    318

    (74.82)

    6 4 8 9 7 7 19 13

    30

    (14.49)

    102

    (40.00)

    55

    (50.93)

    82

    (43.85)

    28

    (10.81)

    44

    (23.53)

    12

    (23.53)

    21

    (19.09)

    20

    (10.63)

    50

    (19.61)

    25

    (23.15)

    38

    (20.32)

    42

    (16.22)

    37

    (19.79)

    18

    (35.29)

    20

    (18.18)

    155

    (74.88)

    103

    (40.39)

    28

    (25.93)

    67

    (35.83)

    189

    (72.97)

    106

    (56.68)

    21

    (41.18)

    69

    (62.16)

    24

    (11.06)

    24

    (9.38)

    25

    (22.52)

    35

    (18.72)

    27

    (9.34)

    30

    (15.54)

    6

    (11.32)

    19

    (17.12)

    154

    (70.97)

    165

    (64.45)

    76

    (68.47)

    123

    (65.78)

    194

    (67.13)

    132

    (68.39)

    33

    (62.26)

    69

    (62.16)

    29

    (13.36)

    46

    (17.97)

    7

    (6.31)

    25

    (13.37)

    57

    (19.72)

    29

    (15.03)

    11

    (20.75)

    17

    (15.32)

    9

    (4.15)

    20

    (7.81)

    3

    (2.70)

    4

    (2.14)

    10

    (3.46)

    2

    (1.04)

    3

    (5.66)

    5

    (4.50)

    1

    (0.46)

    1

    (0.39)

    1

    (0.35)

    1

    (0.90)

    67

    (31.46)

    98

    (38.74)

    38

    (33.93)

    52

    (27.51)

    87

    (30.21)

    62

    (32.98)

    19

    (35.19)

    53

    (47.75)

    1175

    (35.21)

    72

    (28.46)

    31

    (27.68)

    63

    (33.33)

    96

    (33.33)

    68

    (36.17)

    20

    (37.04)

    36

    (32.43)

    142

    (19.72)

    54

    (21.34)

    28

    (25.00)

    40

    (21.16)

    55

    (19.10)

    34

    (18.09)

    9

    (16.67)

    11

    (9.91)

    129

    (13.62)

    29

    (11.46)

    15

    (13.39)

    34

    (17.99)

    50

    (17.36)

    24

    (12.77)

    6

    (11.11)

    11

    (9.91)

    (1) ( ) : %

    , , , , ,

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    1 1 . 1

    , .

  • - 45 -

    /

    //

    /

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    1 143

    (68.75)

    156

    (62.40)

    73

    (66.36)

    128

    (70.72)

    195

    (68.42)

    126

    (68.11)

    36

    (66.67)

    67

    (62.62)

    126

    (12.50)

    39

    (15.60)

    18

    (16.36)

    30

    (16.57)

    50

    (17.54)

    36

    (19.46)

    4

    (7.41)

    12

    (11.21)

    1-611

    (5.29)

    20

    (8.00)

    9

    (8.18)

    4

    (2.21)

    7

    (2.46)

    7

    (3.78)

    5

    (9.26)

    10

    (9.35)

    6 28

    (13.46)

    35

    (14.00)

    10

    (9.09)

    19

    (10.50)

    33

    (11.58)

    16

    (8.65)

    9

    (16.67)

    18

    (16.82)

    1

    113

    (56.78)

    141

    (62.39)

    50

    (49.50)

    91

    (54.17)

    155

    (57.41)

    117

    (68.42)

    30

    (58.82)

    63

    (64.29)

    86

    (43.22)

    85

    (37.61)

    51

    (50.50)

    77

    (45.83)

    115

    (42.59)

    54

    (31.58)

    21

    (41.18)

    35

    (35.71)

    7

    (3.26)

    7

    (2.80)

    5

    (4.31)

    10

    (5.32)

    10

    (3.52)

    7

    (3.26)

    2

    (3.45)

    5

    (4.67)

    208

    (96.74)

    243

    (97.20)

    111

    (95.69)

    178

    (94.68)

    274

    (96.48)

    208

    (96.74)

    56

    (96.55)

    102

    (95.33)

    96

    (46.38)

    121

    (50.00)

    44

    (43.56)

    55

    (32.16)

    174

    (62.59)

    70

    (40.23)

    22

    (46.81)

    45

    (43.69)

    111

    (53.62)

    121

    (50.00)

    57

    (56.44)

    116

    (67.84)

    104

    (37.41)

    104

    (59.77)

    25

    (53.19)

    58

    (56.31)

    115

    (82.73)

    124

    (78.48)

    56

    (74.67)

    101

    (78.91)

    106

    (75.18)

    100

    (80.65)

    19

    (65.52)

    56

    (80.00)

    22

    (15.83)

    29

    (18.35)

    18

    (24.00)

    23

    (17.97)

    33

    (23.40)

    22

    (17.74)

    9

    (31.03)

    11

    (15.71)

    /

    1

    (0.72)

    4

    (2.53)

    1

    (1.33)

    3

    (2.34)

    2

    (1.42)

    2

    (1.61)

    1

    (3.45)

    2

    (2.86)

    1

    (0.72)

    1

    (0.63)

    1

    (0.78)

    1

    (1.43)

    ,

    ,

    ,

    38

    (21.47)

    47

    (22.93)

    20

    (23.26)

    23

    (16.08)

    112

    (44.62)

    33

    (21.02)

    12

    (30.00)

    15

    (18.07)

    139

    (78.53)

    158

    (77.07)

    66

    (76.74)

    120

    (83.92)

    139

    (55.38)

    124

    (78.98)

    28

    (70.00)

    68

    (81.93)

    119

    (79.33)

    126

    (75.45)

    59

    (76.62)

    113

    (81.29)

    120

    (77.92)

    103

    (81.10)

    23

    (69.70)

    55

    (79.71)

    26

    (17.33)

    33

    (19.76)

    14

    (18.18)

    20

    (14.39)

    33

    (21.43)

    21

    (16.54)

    8

    (24.24)

    12

    (17.39)

    /

    5

    (3.33)

    8

    (4.79)

    4

    (5.19)

    6

    (4.32)

    1

    (0.65)

    3

    (2.36)

    2

    (6.06)

    2

    (2.90)

    (2) ( ) : %

  • - 46 -

    3-1-4.

    .

    ( 15, 16, 17, 18, 19, 20, 21)

    ,

    (1

    3 ) .

    .

    VE PE

    (20 )40

    (47.1)

    51

    (33.1)

    20

    (21.3)

    20

    (28.2)

    34

    ( 20-60 )

    38

    (44.7)

    80

    (52.0)

    66

    (70.2)

    40

    (56.3)

    ( 60 )

    7

    (8.2)

    23

    (14.9)

    8

    (8.5)

    11

    (15.5)

    (1 3 )

    37

    (56.9)

    65

    (45.5)

    37

    (44.6)

    23

    (43.4)

    94

    (1 8 )14

    (21.5)

    57

    (39.9)

    32

    (38.6)

    23

    (43.4)

    (1 12 )

    14

    (21.5)

    21

    (14.7)

    14

    (16.9)

    7

    (13.2)

    39

    (57.4)

    70

    (57.9)

    54

    (76.1)

    35

    (70.0)

    128

    29

    (42.7)

    51

    (42.2)

    17

    (23.9)

    15

    (30.0)

    .

    ,

    1 10 .

    , .

  • - 47 -

    VE PE

    15

    (18.1)

    55

    (36.9)

    28

    (30.4)

    36

    (50.7)

    43

    57

    (68.7)

    85

    (57.1)

    63

    (68.5)

    29

    (40.9)

    11

    (13.3)

    9

    (6.0)

    1

    (1.1)

    6

    (8.5)

    11

    (12.9)

    12

    (7.8)

    4

    (4.4)

    17

    (25.4)

    42

    27

    (31.8)

    35

    (22.9)

    37

    (40.7)

    32

    (47.8)

    47

    (55.3)

    106

    (69.3)

    50

    (55.0)

    18

    (26.9)

    (5Kg)

    , 4

    .

    (1-4kg) .

    ,

    .

    VE PE

    32

    (39.0)

    41

    (27.5)

    20

    (21.7)

    39

    (54.2)

    43

    50

    (61.0)

    108

    (72.5)

    72

    78.3)

    33

    (45.8)

    1 10 37

    (46.8)

    71

    (49.7)

    42

    (47.2)

    36

    (61.0)

    68

    1 11-2018

    (22.8)

    48

    (33.6)

    23

    (25.8)

    14

    (23.7)

    1 20 24

    (30.4)

    24

    (16.8)

    24

    (27.0)

    9

    (15.3)

    VE PE

    40

    (47.6)

    53

    (35.3)

    25

    (27.2)

    35

    (49.3)

    41

    , 26

    (31.0)

    54

    (36.0)

    55

    (59.8)

    32

    (45.1)

    , 18

    (21.4)

    43

    (28.7)

    12

    (13.0)

    4

    (5.6)

  • - 48 -

    VE PE

    2

    (2.5)

    1

    (0.7)

    4

    (4.4)

    18

    (25.0)

    45

    0

    (0.0)

    1

    (0.7)

    3

    (3.3)

    3

    (4.2)

    79

    (97.5)

    146

    (98.7)

    85

    (92.4)

    51

    (70.8)

    VE PE

    (5kg)39

    (46.4)

    63

    (40.9)

    14

    (15.2)

    18

    (24.3)

    34

    (6-10kg)14

    (16.7)

    53

    (34.4)

    28

    (30.4)

    13

    (17.6)

    (11-20kg)24

    (28.6)

    20

    (13.0)

    34

    (37.0)

    17

    (23.0)

    (20kg)7

    (8.3)

    18

    (11.7)

    16

    (17.4)

    26

    (35.1)

    238

    (48.7)

    42

    (28.0)

    40

    (44.0)

    46

    (65.7)

    49

    2-44

    (5.1)

    8

    (5.3)

    10

    (11.0)

    8

    (11.4)

    4

    36

    (46.2)

    100

    (66.7)

    41

    (45.1)

    16

    (22.9)

    (1kg)31

    (40.8)

    29

    (19.2)

    8

    (8.7)

    18

    (25.0)

    47

    (1-4kg)24

    (31.6)

    74

    (49.0)

    34

    (37.0)

    21

    (29.2)

    (4kg)21

    (27.6)

    48

    (31.8)

    50

    (54.4)

    33

    (45.8)

    64

    (81.0)

    94

    (62.3)

    50

    (55.0)

    49

    (66.2)

    43

    9

    (11.4)

    41

    (27.2)

    26

    (28.6)

    16

    (21.6)

    6

    (7.6)

    16

    (10.6)

    15

    (16.5)

    9

    (12.2)

    (

    )

    42

    (50.0)

    55

    (36.0)

    27

    (29.4)

    17

    (22.1)

    32

    (

    )

    42

    (50.0)

    98

    (64.1)

    65

    (70.7)

    60

    (77.9)

    ,

  • - 49 -

    VE PE

    .12

    (13.6)

    19

    (12.3)

    11

    (11.8)

    12

    (14.8)

    22

    .46

    (52.3)

    63

    (40.9)

    46

    (49.5)

    26

    (32.1)

    .3

    (3.4)

    14

    (9.1)

    5

    (5.4)

    1

    (1.2)

    .27

    (30.7)

    58

    (37.7)

    31

    (33.3)

    42

    (51.9)

    .13

    (14.8)

    19

    (12.3)

    7

    (7.5)

    13

    (16.5)

    24

    .34

    (38.6)

    47

    (30.5)

    35

    (37.6)

    8

    (10.1)

    .21

    (23.9)

    44

    (28.6)

    30

    (32.3)

    24

    (30.4)

    .20

    (22.7)

    44

    (28.6)

    21

    (22.6)

    34

    (43.0)

    .14

    (16.3)

    12

    (7.7)

    6

    (6.5)

    11

    (14.5)

    28

    , .19

    (22.1)

    44

    (28.4)

    21

    (22.6)

    11

    (14.5)

    .48

    (55.8)

    85

    (54.8)

    56

    (60.2)

    32

    (42.1)

    5

    (5.8)

    14

    (9.0)10

    (10.8)

    22

    (29.0)

    , ,

    3-1-5.

    .( 22)

    VE PE

    . 24(27.9)

    58(37.7)

    35(37.6)

    19(25.0)

    29 .

    45(52.3)

    75(48.7)

    45(48.4)

    21(27.6)

    .15(17.4)

    19(12.3)

    12(12.9)

    20(26.3)

    . 2(2.3)

    2(1.3)

    1(1.1)

    16(21.1)

    .1(1.2)

    2(1.3)

    1(1.1)

    4(5.0)

    25 .

    13(15.1)

    24(15.6)

    17(18.3)

    14(17.5)

    . 47(54.7)

    91(59.1)

    53(57.0)

    34(42.5)

    .25(29.1)

    37(24.0)

    22(23.7)

    28(35.0)

  • - 50 -

    3-1-6.

    ,

    , .( 23, 24, 25,

    26) 30.99 () 33.20

    2.21, 52.70 () 59.59

    6.89.12)

    30.99 52.70 8.06 11.30 19.37

    6.13 11.33 2.71 2.10 3.91

    8 16 4 2 5

    409 397 414 422 413

    29 41 24 16 25

    75% 35 60 10 12 22

    31 52 8 12 19

    25% 27 44 6 10 17

    * * *

    31.536.07 53.1911.60 8.632.61 11.401.96 20.043.62

    VE 30.366.30 49.2210.43 7.082.57 11.202.15 18.273.68

    PE 30.526.01 51.0310.00 8.202.32 11.091.97 19.293.47

    31.985.92 60.4210.34 9.092.94 11.642.23 20.044.46

    *:p-value

  • - 51 -

    * * *

    / 29.595.43 58.659.62 9.482.32 11.361.80 20.843.71

    31.086.23 51.3111.20 7.552.47 11.212.15 18.783.66

    *:p-value

  • - 52 -

    3-1-7.

    . ( 27, 28)

    % %

    ?355 86.80 54 13.20 29

    ? 389 94.88 21 5.12 28

    ? 341 86.11 55 13.89 42

    ? 213 57.10 160 42.90 65

    //

    ( ) ?158 38.73 250 61.27 30

    ?385 98.72 5 1.28 48

    () ?373 98.94 4 1.06 61

    ?233 60.52 152 39.48 53

    ?217 56.66 166 43.34 55

    ?259 71.94 101 28.06 78

    ?306 83.38 61 16.62 71

    ?220 80.59 53 19.41 165

    ? 233 64.01 131 35.99 74

    ? 198 70.71 82 29.29 158

    (1)

  • - 53 -

    % %

    ? 289 74.29 100 25.71 49

    ?246 64.06 138 35.94 54

    ?228 58.76 160 41.24 50

    ?242 63.19 141 36.81 55

    ? 270 67.16 132 32.84 36

    ()

    ?243 61.52 152 38.48 43

    , ? 292 75.65 94 24.35 52

    ()

    ?335 88.16 45 11.84 58

    () ,

    ?374 98.16 7 1.84 57

    ,

    ?391 98.24 7 1.76 40

    (CC-TV)

    ?.

    389 98.23 7 1.77 42

    () ? 170 43.26 223 56.74 393

    ? 291 75.39 95 24.61 52

    , ? 377 97.67 9 2.33 52

    (2)

    // ( )

    .

  • - 54 -

    3-2.

    3-2-1. ( )

    .( 37-39)

    () ( 1-2/ 1

    , social drinker) ( 3-5/ 1, heavy

    drinker) , 1, 2

    .

    ( )*( ) 4(25%)

    10(75%) , 1, 2

    ,

    1 10=

  • - 55 -

    , (20-60

    vs 60 ) .

    (1 3

    )() (1 8 ) (1 12

    ) 1, 2

    . (1 12 )

    (1 3 )() 2 2.0

    . ( vs )

    .

    ()

    , 1, 2

    , 2 3.3 .

    () ,

    1, 2

    , 1 2.9 .

    ()

    , 1,

    2 . 1 3.0,

    2 1.7 . 1 10

    () 1 20

    1, 2 , 2

    2.6 .

    () ,

    1, 2 ,

    ( vs )

    . ()

    , 1, 2

    .

    4 () 4

    , 1, 2

    , 1 2.3 .

  • - 56 -

    (1Kg)

    () (1-4Kg) (4Kg),

    1, 2 ,

    .

    ()

    , 1, 2

    , ( vs )

    .

    () , 1,

    2 .

    ()

    ,

    1, 2

    . 1 3.1 .

    ()

    , 1, 2

    . 1 2.1 .

    3-2-4. ( )

    ()

    , 1, 2

    .

    ()

    , 1, 2

    .( 52)

    3-2-5. ( )

    , , , ,

    ( ),

  • - 57 -

    . ( 53)

    1, 2 .

    1, 2 , 2

    0.6 .

    1, 2

    , 2 0.6 .

    3-2-6. ( )

    28 .

    28 .

    , ,

    ,

    , ()

    , () , ()

    , , ,

    , // ( )

    , ,

    , ,

    ,

    , ,

    , ()

    .

    ( ()

    ), (

    , )

    .

    ( 5,

    () 4) .

  • - 58 -

    .( 54-58)

    (1)

    , .

    (2)

    ()

    1, 2 2 1.7

    . ()

    1, 2

    , 1 8.8

    . ,

    1, 2

    , 2 4.3 .

    (3)

    // ()

    1, 2

    .

    (4)

    1, 2

    .

    1, 2

    , 1 3.1 .

    (5)

  • - 59 -

    1, 2

    , 1 2 1.9

    .

    1, 2

    , 2 1.8 .

    1, 2

    , 1 2.2, 2 2.4 .

    3-3. ( )

    .

    .

    , , , , , ,

    / . (

    ,/

    .) QEC scoring

    method , , ,

    . , , , ,

    . ,

    , , , .

    28

    ,

    .

    27 ( 6, 2,

    7, 2, 5, 5)

    1 , 3.1(95%

    1.01-9.62), 6.6(95% 1.44-30.27)

    ( ) . ( 29)

  • - 60 -

    27 2 ,

    1.1(95% 1.02-1.14)

    2.1(95% 1.08-3.91) ( )

    .( 30)

    (1) Adjusted OR 95% CI

    142(39.6) 40(66.7) 1.0

    217(60.5) 20(33.3) 3.1 1.01-9.62

    153(48.9) 39(76.5) 1.0

    160(51.1) 12(23.5) 6.6 1.44-30.27

    (1 )

    (2) Adjusted OR 95% CI

    1.1 1.02-1.14

    41(31.3) 117(42.2) 1.0

    90(68.7) 160(57.8) 2.1 1.08-3.91

    (2 )

    3-4.

    2000

    . 2000 .

    1998 2000 .

  • - 61 -

    .

    (%)

    (%)

    1992 14 3.52 1998 63 15.83

    1993 9 2.26 1999 61 15.33

    1994 10 2.51 2000 96 24.12

    1995 13 3.27 2001 51 12.81

    1996 15 3.77 2002 33 8.29

    1997 33 8.29 398 100

    40

    438

    (%) (%)/

    (%)

    /(%)

    /(%)

    /

    (%)

    /

    (%)

    /(%)

    1986 0(0) 1(0.46) 0(0) 0(0) 0(0) 0(0) 0(0) 0(0)

    1987 0(0) 0(0) 0(0) 0(0) 0(0) 1(0.67) 0(0) 0(0)

    1988 1(0.54) 2(0.92) 1(1.08) 1(0.65) 2(0.80) 0(0) 0(0) 1(1.11)

    1989 1(0.54) 0(0) 0(0) 0(0) 5(1.99) 0(0) 0(0) 1(1.11)

    1990 1(0.54) 0(0) 4(4.30) 2(1.29) 6(2.39) 3(2.01) 0(0) 1(1.11)

    1991 0(0) 1(0.46) 0(0) 1(0.65) 6(2.39) 19(0.67) 1(2.78) 0(0)

    1992 0(0) 1(0.46) 0(0) 0(0) 3(1.20) 2(1.34) 0(0) 2(2.22)

    1993 1(0.54) 1(0.46) 0(0) 2(1.29) 4(1.59) 1(0.67) 0(0) 1(1.11)

    1994 6(3.23) 3(1.38) 1(1.08) 1(0.65) 5(1.99) 0(0) 0(0) 4(4.44)

    1995 7(3.76) 6(2.75) 4(4.30) 3(1.94) 14(5.58) 7(4.70) 4(11.11) 0(0)

    1996 3(1.61) 4(1.83) 0(0) 2(1.29) 7(2.79) 8(5.37) 2(5.56) 5(5.56)

    1997 7(3.76) 7(3.21) 4(4.30) 7(4.52) 15(5.98) 8(5.37) 2(5.56) 1(1.11)

    1998 22(11.83) 25(11.47) 5(5.38) 12(7.74) 14(5.58) 12(8.05) 2(5.56) 8(8.89)

    1999 17(9.14) 14(6.42) 6(7.53) 9(5.81) 31(12.35) 13(8.72) 1(2.78) 10(11.11)

    2000 51(27.42) 62(28.44) 18(19.35) 37(21.94) 49(19.52) 30(20.13) 10(27.78) 22(24.44)

    2001 28(15.05) 45(20.64) 25(26.88) 34(21.94) 48(19.12) 34(22.82) 6(16.67) 15(16.67)

    2002 41(22.04) 46(21.10) 24(25.81) 44(28.39) 42(16.73) 29(19.46) 8(22.22) 19(21.11)

  • - 62 -

    4.

    4-1. 1

    438 2 138 130

    2 11 141 1

    . 32.2% .

    1 2 3

    % % %

    370 84.47 138 31.51 32 7.31

    4-2. 2

    1

    , MRI

    116 1 141 82.3%, 438

    26.5% .

    80%

    26.5%

    20.1% .

  • - 63 -

    *

    2 1

    (130)110 19 2 131**

    2

    (11)6 2 3 11

    (141) 116 21 5 142

    1

    *

    **2 1 .

    4-3.

    1

    .( 35) PE 29.9% , VE, ,

    22.7% .

    22 90 24.4

    VE 39 158 24.7

    PE 29 97 29.9

    25 90 27.8

    115 435 26.4

  • - 64 -

    4-4.

    1

    .( 36) 78, 43.33%

    , , .

    ** 78 43.33

    12 6.67

    9 5.00

    8 4.44

    8 4.44

    6 3.33

    6 3.33

    , 6 3.33

    5 2.78

    DeQuervain's Disease 4 2.22

    4 2.22

    4 2.22

    3 1.67

    Guyon 2 1.11

    2 1.11

    , , 2 1.11

    2 1.11

    2 1.11

    2 1.11

    1 0.56

    1 0.56

    1 0.56

    1 0.56

    1 0.56

    , 1 0.56

    1 0.56

    9 5.00

    180 100.00

    (2) *

    *

    **, ,

  • - 65 -

    5.

    .

    531 , 82.5%

    438 .

    .

    5-1.

    438 2 138 130

    2 11 141 1

    . 32.2% . 1

    , MRI 2

    116 2 . 1

    78, 43.33% ,

    , .

    5-2.

    .

  • - 66 -

    5-2-1.

    ,

    ,

    .

    , /

    .

    , ( (20

    ) () vs

    (20-60 ) vs (60 ))

    .

    , ,

    , ()

    ,

    .

    .

    .

    ,

    .

    ( ()

    , , / ), ( ),

    ( , , ), (

    , ,

    ) .

    5-2-2.

  • - 67 -

    .

    1 ,

    3.1(95% 1.01-9.62), 6.6(95%

    1.44-30.27) ( ) ,

    2 , 1.1

    (95% 1.02-1.14) 2.1(95%

    1.08-3.91) ( ) .

    5-3.

    ,

    ,

    , , , ,

    .

    .

    3 .

  • - 68 -

    1.

    , , ,

    , ,

    2.

    ,

    -

    -,

    - ()

    - , ,

    - ,

    -

    - ,

    -

    - ,

    -, ,

    -

    -

    -

    -

    -

    -----

    -,

    -*, , -, *, *-, , , -, , , , , , , ,

    , , ,

    -, (1 )-, (2 )

    1.

    , , ,

    , ,

    2.

    ,

    -

    -,

    - ()

    - , ,

    - ,

    -

    - ,

    -

    - ,

    -, ,

    -

    -

    -

    -

    -

    -----

    -,

    -*, , -, *, *-, , , -, , , , , , , ,

    , , ,

    -, (1 )-, (2 )

    *

  • - 69 -

    (kg/m2)

    35

    ()35-39 40

    20

    ()

    20

    2525

    (OR)* 1.0 0.9 0.9 1.0 0.8 0.9

    95% CI** (0.55-1.39) (0.53-1.42) (0.38-1.69) (0.41-2.02)

    (OR) 1.0 1.2 1.0 1.0 0.6 0.6

    95% CI (0.78-1.97) (0.65-1.70) (0.30-1.38) (0.27-1.37)

    / (OR) 1.0 1.7 1.8 1.0 0.7 0.8

    95% CI (0.92-3.02) (0.97-3.29) (0.29-1.51) (0.31-1.85)

    / (OR) 1.0 0.8 0.7 1.0 1.2 0.9

    95% CI (0.53-1.36) (0.42-1.17) (0.57-2.75) (0.38-2.12)

    / (OR) 1.0 0.8 0.9 1.0 1.3 1.3

    95% CI (0.51-1.30) (0.57-1.52) (0.60-2.63) (0.59-2.95)

    / (OR) 1.0 1.1 1.1 1.0 1.2 1.5

    95% CI (0.67-1.75) (0.70-1.90) (0.53-2.59) (0.63-3.38)

    / (OR) 1.0 1.3 1.4 1.0 0.8 0.7

    95% CI (0.60-2.85) (0.61-3.05) (0.26-2.41) (0.20-2.32)

    / (OR) 1.0 1.2 1.1 1.0 0.8 1.3

    95% CI (0.70-2.16) (0.61-2.02) (0.33-1.94) (0.53-3.44)

    1 (OR) 1.0 1.0 1.5 1.0 1.3 1.5

    95% CI (0.55-1.90) (0.76-3.10) (0.51-3.15) (0.54-4.32)

    2 (OR) 1.0 1.0 1.6 1.0 0.8 2.1

    95% CI (0.62-1.74) (0.95-2.70) (0.37-1.89) (0.89-5.00)

    (1)

    *(OR) :

    .

    .

    **95% CI(Confidence Interval, 95%) : 100

    95 .

  • - 70 -

    ()

    social

    drinker

    heavy

    drinker

    ()

    (OR) 1.0 0.4 0.3 1.0 0.9 1.3

    95% CI (0.23-0.71) (0.13-0.67) (0.50-1.69) (0.83-2.04)

    (OR) 1.0 0.6 0.5 1.0 1.2 0.9

    95% CI (0.36-1.12) (0.24-1.12) (0.68-2.20) (0.61-1.45)

    / (OR) 1.0 1.1 0.7 1.0 1.1 1.4

    95% CI (0.54-2.07) (0.27-1.93) (0.51-2.26) (0.81-2.38)

    / (OR) 1.0 0.8 1.2 1.0 1.2 1.8

    95% CI (0.44-1.37) (0.53-2.53) (0.65-2.35) (1.09-2.84)

    / (OR) 1.0 0.8 1.0 1.0 0.9 1.1

    95% CI (0.44-1.36) (0.46-2.21) (0.49-1.60) (0.73-1.75)

    / (OR) 1.0 0.6 0.9 1.0 1.1 0.9

    95% CI (0.33-1.01) (0.41-1.93) (0.58-1.94) (0.55-1.37)

    / (OR) 1.0 0.5 0.2 1.0 0.9 0.9

    95% CI (0.25-1.09) (0.04-0.92) (0.33-2.24) (0.45-1.81)

    / (OR) 1.0 0.4 1.0 1.0 1.4 1.5

    95% CI (0.23-0.79) (0.45-2.26) (0.69-2.96) (0.87-2.64)

    1 (OR) 1.0 0.5 0.5 1.0 1.0 0.9

    95% CI (0.18-1.26) (0.16-1.79) (0.45-2.40) (0.51-1.73)

    2 (OR) 1.0 0.6 0.5

    95% CI (0.31-0.97) (0.24-1.21)

    (2)

  • - 71 -

    ( )*( )

    ()

    4

    : .

  • - 112 -

    7) BARREL

    BARR

    EL

    (1) 2 2 3 2(0) 2 5 1(1) 6 3

    (2) 3 1 3 2(1) 1 1 1(0) 4 2

    C/S sleeve

    3 2 2 1(1) 2 1 1(0) 4 2

    RULA (BARREL)

    :

    1m5cm .

    .

    : .

    C/SLEEVE : 10kg 10box

    . .

    honing 1,500 1 750

    . .

    .

  • - 113 -

    C/SLEEVE

    8) CON SLEEVE

    P/H 3 2 3 2(1) 2 1 1(0) 4 2

    RULA (CON SLEEVE)

    CON SLEEVE / PLUNCER: 2, 1 . 1 600

    .

    9) HEAD BODY

    HEAD

    BODY

    22 T/F M/C 3 2 4 1(1) 1 4 1(0) 6 3

    4 2 2 1(0) 2 5 1(0) 6 3

    RULA (HEAD BODY)

    HEAD BODY: 1,300 .

    4. 2 . 1.4kg head body

    .

    .

    . 100 2

    .

    . head body

    .

  • - 114 -

    T/F M/C

    10) HEAD SUB

    HEAD

    SUB 4 2 2 2(1) 2 2 1(0) 4 2

    RULA (HEAD SUB)

    HEAD SUB: head sub .

    2 1 750 . 200

    .

    . 1.5kg

    1,500

    . .

    11) HEAD ASS'Y

    HEAD

    ASS'Y

    PLUNGER 4 2 3 2(0) 2 3 1(0) 5 3

    2 2 2 2(1) 2 2 1(0) 3 2

    RULA (HEAD ASS'Y)

    -->head-->

  • - 115 -

    HEAD SUB PLUNGER

    **VE . 30 (

    ) - . .

    12) VE

    3 2 3 2(1) 2 3 1(0) 5 3

    MS(1) 2 2 2 2(3) 2 2 1(0) 4 2

    MS(2) 2 2 2 2(1) 2 5 1(0) 6 3

    RULA (VE )

    VE :

    . 1 . DOT

    ROLLER A'SSY, Piston, Timer springDiskcam disk k-mabHeadMS

    G/CoverC/Lever .

    .

    .

    MS

    .

    : 4kg

    . 1 2 150

    .

    90cm

    24cm 1m35cm

    .

  • - 116 -

    VE MS( )

    13) VE

    3 2 4 2(2) 2 3 1(0) 6 3

    RULA (VE )

    VE : 1 50 3 30 T/B

    8 4-4.5kg

    400 .

    (Running T/B)

    .

    .

    .

    . VE

    .

  • - 117 -

    VE

    14)

    1 1 2 2(2) 2 3 1(0) 4 2

    3 2 4 2(3) 2 2 1(0) 5 3

    RULA (VE )

    * 2 500 .

    : . 5kg 1

    1,250 30

    . pump

    . 1 50 .

    : .

    .

    : 4 21 . 1 38 4

    .

    .

    15)

  • - 118 -

    2 2 3 2(2) 3 1 1(0) 5 3

    4 2 3 2(3) 3 2 1(0) 6 3

    RULA ()

    : 1,500 .

    .

    1 125

    .

    :

    .

    .

    16)

    2 2 2 1(3) 2 5 1(0) 7 4

    RULA (VE )

    :

    6.8kg 9kg .

    85cm 25cm

    . . 1

    1,200 .

  • - 119 -

    VE VE

    3-2-3. PE

    1) PE

    PE-A 4 2 3 2(3) 3 3 1(0) 7 4

    SLOTER 4 2 3 2(3) 4 4 1(0) 7 4

    PE-P 4 2 3 2(3) 3 4 1(0) 7 4

    2 2 3 2(2) 4 3 1(0) 7 4

    RULA (PE )

    PE-A: 1 4 6 130

    . 3kg 8kg 20 .

    PE-P: , .

    (10) 100

    (8kg) . PE

    450-500

    . 1

    90 .

    30-80

    2 1 .

    1 .

  • - 120 -

    ( 4 )

    .

    2) PE

    4 2 3 2(3) 4 1 1(0) 7 4

    RULA (PE )

    PE : 4 2

    . PE-A PE-P .

    50%

    .

    . 200 250

    .

    PE-A slottter PE-P

    PE .

    4 5

    . 2000

    200 2

    . IMF PE

    .

    96 2000

  • - 121 -

    .

    3) PEA CELL LINE

    5 2 3 2(2) 4 5 1(0) 7 4

    1 3 2 3 2(2) 3 1 1(0) 5 3

    5 3 3 2(2) 5 5 1(0) 7 4

    5 2 4 2(2) 4 5 2(1) 7 4

    RULA (PE-A CELL LINE)

    PE-A CELL LINE:

    . , ,

    .

    .

    CELL line CELL line

    . PE .

    . 1

    .

    .

    PE-A cell line PE-A cell line

    4) PE-A

  • - 122 -

    2 2 2 2(2) 4 1 1(0) 6 3

    3 2 3 2(3) 2 5 1(1) 7 4

    1 2 2 3 2(1) 3 1 1(0) 4 2

    5 3 3 2(2) 5 5 1(0) 7 4

    6 2 3 2(1) 4 2 1(0) 7 4

    RULA (PE-A )

    PE-A: .

    . PE

    ( )

    . 6 20 .

    1 timing 7kg 15kg

    100

    .

    Sub 3 1 .

    sub 1 cell line sub

    .

    . IMF

    ,

    .

    . 7-15kg 70(5), 1

    15 15 3

    45 .

    .

    5) PE-P

  • - 123 -

    PL Block 6 2 3 2(2) 3 3 1(0) 7 4

    CAM shaft 4 2 3 2(2) 3 4 1(1) 7 4

    4 2 3 2(1) 3 2 1(0) 5 3

    3 2 3 2(1) 2 2 1(0) 4 2

    1 1 2 3 2(1) 2 1 1(0) 3 2

    4 3 3 2(3) 2 3 2(0) 7 4

    RULA (PE-P )

    PE-P : PL Block

    . 8-90 PE

    . CAM shaft 10 80

    . 3 (240)

    .

    .

    . 15kg 14 3

    .

    .

    PE

    .

    .

    7 3

    .

    .

  • - 124 -

    PE-P PE-P ( )

    6) PE-M

    3 2 2 2(1) 2 2 1(0) 4 2

    (1) 2 2 3 2(1) 3 1 1(0) 4 2

    (2) 3 2 3 2(1) 3 3 1(1) 5 3

    plunger

    3 2 3 2(4) 2 5 1(0) 7 4

    3 2 3 2(1) 3 1 1(0) 4 2

    3 2 3 2(1) 3 2 1(1) 5 3

    4 3 3 2(4) 3 2 1(0) 6 3

    RULA (PE-M )

    PE-M : PE-M PE

    .(

    ) . 200

    .

    6 6 126. 4 3

    2 3

    . 6 126 4

    75 .(1 2.1 30 1

    ) PE-M

    .

    PE-M PLUNGER PE-M

    .

  • - 125 -

    . 7kg

    .

    85 2 170 141cm

    .

    .

    PE-M 13 . 10

    15 . ,

    4(154=60) .

    PE-M .

    .

    140

    .

    PE-M

    7) PE-M

    4 2 3 2(3) 3 4 1(0) 7 4

    RULA (PE-M )

    PE-M : SUB . PE

    .

    .

    . 3 .

  • - 126 -

    .

    . 1 30

    (

    2.5kg) 4 .

    5 . 3

    .

    8)

    : PE-M 1, PE-P, PE-A 1

    . PE-M 7.5kg 140, PE-P, PE-A

    12kg 20kg 80 . PE-P

    , ,

    . 4

    .

    3-2-4.

    1)

    3 2 2 2(2) 2 1 1(0) 3 2

    2 1 2 1(1) 2 3 1(0) 4 2

    3 2 2 2(1) 2 3 1(0) 5 3

    2 1 2 2(2) 3 1 1(1) 5 3

    () 3 2 2 2(0) 2 3 1(1) 5 3

    3 2 2 2(2) 2 2 1(0) 4 2

    RULA ()

    : .

    .

    .

    .

  • - 127 -

    .

    . 13

    3 .

    : .

    .

    .

    (5-10kg) .

    : 15 7 1

    .

    .

    : (

    .

    ) .

    : 2 1 . 4m

    ()

    .

    .

    .

    50 .

    :

    .

    .

    .

    : .

    .

    .

    .

    .

  • - 128 -

    .

    (30kg)

    .

    .

    .

    . (

    ) .

    .

    .

    box .

    .

    .

    : 3 .

    3 .

    20

    .

    : .

    .

    20kg

    . 10

    . .

    .

    80

    .

  • - 129 -

    2)

    4 2 3 2(4) 3 5 2(1) 7 4

    (

    )4 2 3 2(2) 3 5 1(0) 7 4

    2 2 2 2(1) 2 2 1(0) 3 2

    3 2 2 2(1) 2 1 1(0) 4 2

    RULA ()

    :

    .

    .

    .

    300

    .

    .

    :

    . .

    10kg 15kg 50

    . 1 3-4 .

    : 10kg

  • - 130 -

    40 .

    .

    (): 3

    .

    line: 1

    . 2 1

    450 . 1 100 .

    .

    1.2kg head 1,300

    .

    3-2-5.

    2 2 3 2(1) 2 3 2(0) 6 3

    RULA ( )

    Hub Sub: .

    . .

    BOX

    .

    .

  • - 131 -

    PE

    .

    .

    3-3. RULA

    RULA 1 . 2, 3, 4

    .

    3-3-1. 2

    :

    DLLA-P

    DLL-S /20 ///

    DN-PD(1)///(1)/

    (2)/

    DN-S /(1)///

    KCAS-P /

    KDAL-2 (2)

    VE

    BARREL (2)/C/S sleeve

    CAM DISC /

    CON SLEEVE P/H

    D.V ASS'Y //

    DRIVE SHAFT /S/F(1)

    F/P ASS'Y (1)/ (2)

    F/P ASS'Y //R/(1)

    HEAD ASS'Y

    HEAD SUB

    R/H ASS'Y //(1)

    VE MS(1)

    PE

    PE-A 1

    PE-M /(1)/

    PE-P /1

    /

    //

    RULA 2

  • - 132 -

    3-3-2. 3

    :

    DLLA-P

    DLL-S

    DN-PD (2)

    DN-S (2)

    KDAL-S /(1)/(2)

    NEEDLE VALVE

    PLUNGER

    VE

    /()/ /

    BARREL (1)

    D.V ASS'Y

    DRIVE SHAFT S/F(2)

    F/P ASS'Y (2)

    HEAD ASS'Y PLUNGER/22 T/F M/C/

    R/H ASS'Y (2)

    /

    VE /MS(2)

    VE

    PE

    PE-A

    PE-A CELL LINE 1

    PE-M (2)//

    PE-P

    //()

    RULA 3

    3-3-3. 4

    :

  • - 133 -

    KDAL-2 (1)

    VE

    / //

    ( )/

    PE

    PE-A /SLOTER

    PE-A //

    PE-A CELL LINE //

    PE

    PE-M

    PE-M plunger

    PE-P /

    PE-P PL Block /CAM shaft/

    /()

    RULA 4

    119 2 55 (46.2%) 3

    37 (36.2%) 4 27 (22.7%).

    3 4 58.9%

    . 4

    3 (9.1%), PE 16 (57.1%), VE 6

    (12.7%) .

  • - 134 -

    4.

    , ,

    , , .

    .

    .

    , , .

    , , , ,

    ,

    ,

    .

    .

    ( ) .

    .

    .

    .

    .

    .

    .

    .

    .

  • - 135 -

    PE

    .

    , ,

    ,

    .

  • - 136 -

    RULA

    3

    DLLA-P

    DLL-S

    DN-PD (2)

    DN-S (2)

    KDAL-S , (1),

    (2)

    NEEDLE VALVE

    PLUNGER

    ,

    .

    ,

    .

    .

    .

    .

    VE

    , ()

    , ,

    BARREL (1)

    D.V ASS'Y

    DRIVE SHAFT S/F(2)

    F/P ASS'Y (2)

    HEAD ASS'Y PLUNGER, 22 T/F

    M/C,

    R/H ASS'Y (2)

    ,

    VE , MS(2)

    VE

    VE

    .

    BOX .

    .

    ,

    .

    PE

    PE-A

    PE-A CELL LINE 1

    PE-M (2), ,

    PE-P

    PE

    .

    .

    , , ()

    .

    HUBSUB

    .

  • - 137 -

    RULA

    4

    KDAL-2 (1)

    .

    .

    .

    .

    VE

    ,

    , , ( ),

    .

    .

    PE

    PE-A , SLOTER

    PE-A , ,

    CELL LINE , ,

    PE-M plunger

    PE-P ,

    PE-P PL Block , CAM

    shaft,

    PE .

    .

    , , ,

    .

    .

    , ()

    .

    .

    .

    *RULA 3, 4 .

  • - 138 -

    1.

    1-1.

    1-1-1.

    ,

    ,

    .

    . 80

    (

    ) .

    80 ,

    ,

    .

    (// )

    . /

    ()

    .

    .

    , ()

    . ,

    /

    . .

  • - 139 -

    200 .

    , ,

    .

    1-1-2.

    , .

    . 1997

    .

    1998 2002 ,

    , , , 4 .

    , ,

    , 2 ,

    . ,

    ()

    .

    .

    ,

    , ,

    .

    .

    , , 1998 3

    .

    / 40%

    . ,

  • - 140 -

    .

    /

    .

    ,

    . , ,

    .

    /

    . ,

    90 IMF 97 98

    .

    .

    , /

    , ,

    . 90

    ,

    , ,

    .

    , , ,

    .

    .

    .

    .

    . , /

  • - 141 -

    .

    ,

    .

    1-2.

    1-2-1. ?

    , ,

    , . ,

    . ,

    ,

    .

    .

    .

    1 . ,

    .

    .

    . ,

    .

    , . ()

    .

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    1-2-2. : ,

    .

  • - 142 -

    . ,

    .

    , ()

    , .

    .

    . . ,

    .

    , .

    () .

    = .

    = . , ,

    . , = ,

    = .

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    . .

    .

    , 3

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    (

    ). .

    ,

    . .

    , ,

  • - 143 -

    , .

    , ,

    .

    1 24 ,

    ,

    .

    1 24

    .

    , .

    , , ,

    . = /

    ,

    / .

    ,

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  • - 144 -

    ,

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    .

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    , ,

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  • - 145 -

    ,

    . /

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    1-2-3.

    , ,

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    (=)

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  • - 146 -

    ,

    .

    /

    ,

    .

  • - 147 -

    2.

    2-1.

    2-1-1.

    .

    . (host factor), (individual environmental

    factor), (group environmental factor) .

    ,

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  • - 148 -

    .

    , ,

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    2-1-2.

    .

    ,

    .

    ,

    .

    25Kg 10 1m

    50Kg 5

    250(kg/) . 1 10

    8 2 20 8

    8 (80 )

    .

    , , 8

  • - 149 -

    .

    .

    .

    .

    ,

    .

    ,

    .

    .

    ,

    .

    .

    .

    ,

    . , , , ,

    , .

    ,

    .

    .

    .

  • - 150 -

    .

    . .

    .

    , , , ,

    , ,

    .

    ,

    , .

    .

    ,

    .

    ,

    ,

    .

    .

  • - 151 -

    2-2.

    .

    1997 2002

    .

    .

    .

    .

    2-2-1.

    . 7 .

    , , , ,

    , , .

    .

    . ,

    , , ,

    .

    .

    .

    .

    .

    .

    .

  • - 152 -

    // () ?

    ?

    ?

    ?

    , ?

    () ?

    () , ?

    , ?

    ?

    ?

    ?

    ?.

    () ?.

    ?

    ?

    ?

    ?

    ?

    ?

    ?

    2-2-2.

    20% .

    VE , PE , ,

    5n+1(n=0 ) 97 .

    5n+1

    . 3

    5 .

    30

    .

    .

  • - 153 -

    ,

    .

    ( / / )

    (/ / /

    / )

    ( 5 ) ( /

    / / /

    / )

    ( / )

    / /

    / )

    5

    .

    , , , ,

    () ,

    .

    .

    2-2-3.

    4

    . / () /

    / () .

    (%) . (%)

    .

    (OLI, Over-Loading Index, %)

    = ( - ) / X 100

  • - 154 -

    1

    ()

    1

    1

    ()

    1

    .

    ( )

    .

    (%)

    . (%)

    .

    (LI, Limitation Index, %) = / X 100

    (%)

    .

    .

    .

  • - 155 -

    3.

    3-1.

    3-1-1.

    .

    1997 ,

    .

    . 98

    .

    1.

    1) : 98 .

    2) : 98 250%

    .

    2.

    1)

    ) 2000 2 .

    1/4 ( 14 )

    . .

    ) 45() :

    .

    ( )

    1998 ()

    98 99 45 2

    2001 2 .

    .

    2000 .

    1

    . ,

    , .

  • - 156 -

    2000

    .

    ,

    .

    .

    3-1-2. 1997

    1997

    4 165

    (1997-2002. ). 6 4

    165 32 20%

    80% . 1998

    ,

    .

    (*)

    1997 19 5 24

    1998 5 1 6

    1999 21 3 24

    2000 35 4 39

    2001 25 3 28

    2002 28 16 44

    () 133 32 165

    (*) 4

    6 80%(133/165) .

    . 6 VE

    52 3 100

    8.95

    .

    . 2000

    ,

  • - 157 -

    . 100 6

    .

    VE PE *

    1997 1 6 3 2 2 1 7 2 5 19

    1998 1 1 4 1 5

    1999 6 1 4 5 2 5 1 3 21

    2000 2 9 1 9 9 1 6 2 4 35

    2001 1 6 6 1 6 1 6 1 3 25

    2002 8 13 3 3 4 4 8 1 16 28

    52 29 30 43 11 165

    ** 13 6.3 7.7 8.7 1.3 37

    # 190.3 100.6 86 142.6 55.6 581.3

    ## 6.83 6.26 8.95 6.1 2.34 6.37

    * , ,

    ** 2000-2002 10

    # 2000, 2001, 2002

    ## 100 2000-2002 3

    6.836.26

    8.95

    6.12

    2.34

    6.37

    0

    1

    2

    3

    4

    5

    6

    7

    8

    9

    VE PE NZ

    3 ( 100 )

  • - 158 -

    3-1-3.

    97 ,

    959(1997) 623(2002 10) 35% .

    2.5(/100) 7.06(/100) 282%

    . 2000

    1997 2040 2000 2140

    230% .

    2000 .

    .

    2.5

    0.77

    3.45

    5.75

    4.5

    7.06

    9.59

    7.82

    6.69 6.78

    6.23 6.23

    2.04

    1.211

    1.7332.011

    1.75 1.65

    0

    2

    4

    6

    8

    10

    12

    1997 1998 1999 2000 2001 2002

    (100 ) (x 100) (x )

    .

    1997 280%

    .

    .

  • - 159 -

    .

    3-2.

    3-2-1.

    (1) ( 437)

    437. 426(97.5%)

    11(2.5%). / 40

    (11%) 338(77.3%) .

    90, VE 158, PE 97, 89 .

    , , , .

    (2)

    , 20% ,

    16(16.3%), VE 37(37.8%), PE

    17(17.3%), 28(28.6%) .

    %

    16 16.3

    VE 37 37.8

    PE 17 17.3

    28 28.6

    98 100

    3-2-2.

    .

    .

  • - 160 -

    .

    ,

    .

    (1)

    .

    . . PE

    PE

    . 1998

    .

    2000 .

    .

    -

    ... ,

    4... , 5 . 3 ,

    , ... ... VE 2 .

    4 .

    . VE ... ... ...

    .(VE )

    PE-M ...

    ... VE. 3, 5 ... PE .. 1 .. 1, 1

    .. ... ... 2000 10 . 97 5 2

    ... ...

    PE ...

    ... 57 60

    10 ... PE

    , ... .

    ... ...

    VE ... . .

    .. IMF

    . ...

    ... ... ..

    ...(VE )

  • - 161 -

    -

    VE. 7 7 . . PE. PE-M

    . 4,5 . .. , VE ,

    , , .

    . , PE .

    PE ...

    . 7,8 .(PE )

    -

    . , 4 . .

    . 4 , VE 5 . ,

    . () , ...

    ... (VE )

    PE 2. VE 1. VE. 7 .

    , IMF .

    . ,

    ... .

    (VE )

    - / /

    , ,

    .

    ,

    .

    .

    . ,

    .

    . . ,

    , ... 2

    , . ...

    . , ,

    ... 2/3 . ... 2 ,

  • - 162 -

    ... . .

    , ... ...

    , . 100 .

    , 1 2 ,

    . , . ...

    , . ,

    . . ,

    .(VE )

    ... .... ... ...

    ... , ... ...

    . ... ... , .

    , . ... . ...

    ... ... ... .

    , , ...( )

    ... , .

    . .

    . . . .

    . . . .

    . . .

    , . . .

    . . ... ... . ...

    . . . ... . , ,

    , .

    . . . .

    . (VE )

    , . , ,

    .... . , .

    . ,

    , , .

    , . (VE )

    ... , ...

    . .

    , , , ,

    . , , ...

    , ...

    , ,

    . ... .(VE )

  • - 163 -

    . ... . .

    ... ....

    . .

    ... .(PE

    )

    3-2-3.

    (1)

    (%)

    VE PE

    (%) (%) (%) (%)

    163(37.3) 35(49.3) 63(44.7) 36(40.4) 29(54.7)

    192(43.9) 36(50.7) 78(55.3) 53(59.6) 24(45.3)

    82(18.8)

    No() 163(37.3) 1) ?2) ?3) ?4) ?

    .

    No() : () : () : () : () :

    () 50(11.4)

    () 52(11.9)

    () 44(10.1)

    () 46(10.5)

    82(18.8)

    192(43.9%) , , ,

    . 20.6%

    90

    .

  • - 164 -

    191%( 98) .( = 37

    ) 170%(92)

    .( = 22)

    (2)

    .

    ,

    ,

    .

    .

    .

    . ...

    , 1 , 2 , 1,2,3 3 .

    3... . . , ...

    . . 5 8 ... ...

    7 . ,

    , . ... ... .

    1200 1300 . .

    , , , . .

    . ... . ... , ,

    , ... ,

    . .

    . , .(VE )

    . . ...

    . .

    ... .

    ... .(PE )

    . ,

    . .. ... .

  • - 165 -

    .(PE )

    . ...

    .

    . .

    10 . ... 4 .

    .

    . . 10

    20 . 10-15 . 4,5

    ... 8,90 ... ... 2...

    . . .

    6 ..

    . 3

    . 5 , ... .(PE )

    ... . , 4 .

    1 , ... 2 . 4. 2, 2.

    . . .

    , ,

    . . . ,

    , ... , ... ...

    ...

    . . , 2 ,

    , ... . ... ...

    . 1. , ...

    ...

    . , . . ,

    700 , 750 ,

    ... .(VE )

    . .

    . .. ...

    .

    .(PE )

    ... , . , , ,

  • - 166 -

    , ... . 1 ,

    , . , ,

    . . 1/3 ,

    , , ,

    . ... , .

    ... . 1 , 10... 20

    . , (?) ...

    ...

    . . . ..

    ...

    . ... , . ,

    . ( )

    . .. , ,

    , , ,

    , , . .

    . . ,

    .( )

    . , ,

    . ,

    , . .

    . . ,

    .(VE )

    3-2-4.

    .

    , , , , ,

    .

    .

    (1)

  • - 167 -

    (%)

    VE PE

    (%) (%) (%) (%)

    157(35.9) 33(40.2) 67(43.8) 31(33.3) 26(34.2)

    250(57.2) 49(59.8) 86(56.2) 62(66.7) 50(65.8)

    30(6.9) : // (

    ) ?(/)

    , //

    ( )

    .

    .

    250(57.2%)

    59.8%, VE 56.2%, PE 66.7%,

    65.8% .

    0

    5

    10

    15

    20

    25

    30

    35

    1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

    1998

  • - 168 -

    . 2002

    . 2002

    .

    (%) 129 4 70 29.15 16.402

    (%) = ( - )/ X 100

    (%)

    129

    29.15% .

    . 5

    . , ,

    .

    .

    .

    (a)

    ... . ... 30 25 .

    ... ... ... . 2 , 3

    . , , 6 12

    , , 18 , ... 13 .(VE )

    10 IMF .

    , . . .

    . , ... ...

    ... ... . ...

  • - 169 -

    . . 2

    ... . .

    ...

    . .

    ... .

    ... MCE 10% .

    .. ... .

    . ...

    . ... . ...

    ...(PE )

    ... . . ,

    . . ... 3, 4? ...

    10 . 13, 14 10. . .(

    )

    . IMF , 50% , , 16

    , 1 9... , . (

    )

    16 9... IMF , ...

    . , , .

    . ... 90%? 1/3 . 9

    , 8 . 2 ...

    14 8 ... . ( )

    , . ... 4 ...

    . 23 ? 4,5 . ...

    1800 , 15 . ,

    , 1400 1500... ... 1600

    1700... 2 . ... 17

    . .( )

    4 3 . PE-M

    ... 25 ? ... 16... .

    .(PE )

    (b)

    ... ... IMF ...

    1000 . 600 400

  • - 170 -

    . 2,3 . 2,3 .

    . ... PE ,

    PE-M ... .

    ... VE 13 10 .

    .(PE )

    . ...

    . . PM...

    . ... 1 . ... 2001...(PE )

    ... , ... 17 .

    , , . , .

    . ... .

    . 10... ( )

    ? . . . 98

    , 99 . 99 . 98

    . 7 10 .

    , , ...(VE )

    (c)

    . 2 . , ... VE

    , ,

    , . ... IMF... 97

    IMF...? 98 . 97, 98 .

    , ... , ...

    . . , ,

    ... ... ... ...(VE

    )

    , . . . 20

    11 . , .

    , ...( )

    (2)

  • - 171 -

    (%)

    VE PE

    (%) (%) (%) (%)

    243(55.6) 51(70.8) 107(71.8) 42(53.8) 43(78.2)

    112(25.9) 21(29.2) 42(28.2) 36(46.2) 12(21.8)

    81(18.5)

    No() 243(55.6) 1) ?2) ?3) ?4) , ?

    .

    No() : () : () : () : () :

    () 64(14.6)

    () 26(5.9)

    () 17(3.9)

    () 6(1.4)

    81(18.5)

    .

    112(25.9%) , 29.2%,

    VE 28.2%, PE 46.2%, 21.8%

    . 2 49

    (10.2%) .

    ,

    .

    2000

    .

    .

  • - 172 -

    2002.02001.02000.01999.01998.01997.0

    12

    10

    8

    6

    4

    2

    0

    , .

    2 20(1 10)

    1 1 .

    2000

    3.75 1.96

    .( = 28)

    28 1 7 3.75 1.669

    28 0 4 1.96 1.105

    . ,

    .

  • - 173 -

    .

    (a) ( )

    . ,

    7, 80... IMF . 40 , 200 ...

    , , ,

    . . 4 , , ...

    , , ...

    ... . ...

    .(VE )

    (b)

    . . .

    8 . 10

    , 1 ... .

    .(PE )

    (3)

    .

    , ,

    , .

    159(36.4%) .

    47.3%, VE 41.3%, PE 58.8%, 32%

    .

    6.6%

    ,

    ,

    .

    . ( = 45)

  • - 174 -

    . 1995-1996

    .

    9

    .

    .

    (%)

    VE PE

    (%) (%) (%) (%)

    189(43.2) 39(52.7) 81(58.7) 35(41.2) 34(68.0)

    159(36.4) 35(47.3) 57(41.3) 50(58.8) 16(32.0)

    89(20.4)

    No() 189(43.2) 1) () ?2) () , ?3) , () ? ?4) () ?

    .

    No() : () : () : () : () :

    () 130(29.7)

    () 26(5.9)

    () 3(0.7)

    () 0(0)

    89(20.4)

  • - 175 -

    2002.0

    2001.0

    2000.0

    1999.0

    1998.0

    1997.0

    1996.0

    1995.0

    1994.0

    5

    4

    3

    2

    1

    0

    .

    ,

    ,

    .

    (4)

  • - 176 -

    (%)

    VE PE

    (%) (%) (%) (%)

    192(43.9) 44(59.5) 30(40.5) 53(61.6) 28(71.4)

    147(33.6) 67(47.9) 73(52.1) 33938.4) 11(28.2)

    98(22.4)

    No() 192(43.9) 1) ?2) ?3) ?

    .

    No() : () : () : () :

    () 68(15.6)

    () 51(11.7)

    () 28(6.4)

    98(22.4)

    .

    .

    ,

    . 147

    33.6% , VE (52.1%) (47.9%)

    . 78(18.1%)

    . 95

    (21.7%) 2000

    . 2.38

    3.94 .( = 52)

  • - 177 -

    2002.02001.02000.01999.01998.01997.01996.01995.0

    16

    14

    12

    10

    8

    6

    4

    2

    0

    52 0 10 2.38 2.050

    52 0 12 3.94 2.593

    2002.02001.02000.01999.01998.01997.01996.01995.0

    20

    10

    0

  • - 178 -

    49 1 15 2.22 2.801

    50 1 17 4.05 3.390

    2000 2001

    . 2.22 4.05

    .

    2000

    .

    .

    ? ... IMF ... 97, 8 .

    . .

    . ,

    , , ...

    ... ... ,

    ... ... , 1 ... 1

    ... . (VE )

    , ... ...

    , ... .

    . . ... 5, 6 . ,

    ... , . .

    , . .

    , , 3,4 , ,

    , , 3,4 ,

    . , , . (VE

    )

    , , .

    , ,

  • - 179 -

    , .

    . , ,

    , .

    , .(VE )

    51.. ... 6 ... 5 . .

    . ...

    . .(VE )

    , ...

    . . .

    ... ... ... 95 96...

    5,6 . ...

    ... . . ...(VE

    )

    ... . .

    ... ... ... 8 6 .

    . ...

    ... 2001? ? ... ,

    . (PE )

    (5)

    (%)

    1) ?.

    2) () ?.

    366(83.8)

    9(2.1)

    62(14.2)

    9

    .

    .

  • - 180 -

    .

    (6)

    .

    ,

    . ,

    .

    .

    .

    5 ,

    ,

    .

    .

    .

    .

    .

    1998-1999

    , 2000

    .

    .

    3 . ... ... ...

    ... 100 ... . 31 . 3 1

  • - 181 -

    . IMF ... .

    . . ... , .

    ... .(VE )

    ... 3100. ... ... ... 30% . 4 6

    . IMF , 6 4 .. ... ,

    . 97 10 ... , ...

    .. .. 10

    , .... 10

    ...(VE )

    ... , ... 3100. ... . ? . 46

    . . ...

    , ( )

    ? 3800... ... ? 55 ... ,

    ... 46 37 . .( )

    3-3.

    .

    .

    .

    .

    .

  • - 182 -

    (%)

    ()

    3-3-1.

    (1)

    , ,

    .

    ,

    .

  • - 183 -

    (%)

    VE PE

    (%) (%) (%) (%)

    173(39.6) 44(57.1) 71(50.0) 29(33.0) 29(67.4)

    178(40.7) 33(42.9) 71(50.0) 59(67.0) 14(32.6)

    86(19.7)

    No() 173(39.6) 1) ?2) ?3) ?

    .

    No() : () : () : () :

    () 40(9.2)

    () 76(17.4)

    () 62(14.2)

    86(19.7)

    178(40.7%) .

    50% . PE 67%

    . VE (50%),

    (42.9%) (32.9%)

    . 138(31.6%)

    .

    152

    (34.8%) , 166(38%)

    . 101(23.1%)

    . 2000

    .

  • - 184 -

    2002.52000.01997.51995.01992.51990.01987.5

    60

    50

    40

    30

    20

    10

    0

    (%) 17 .00 150.00 68.08 51.68

    (%) 56 -90.00 900.00 59.06 135.43

    (%) 68 1.54 900.00 48.33 121.74

    (2)

    .

    ,

    .

    IMF ? ... . ...

    . . ... ... . ,

    . .

    , . . .

    . . . ( )

    ... . ...

  • - 185 -

    , ... ... 2/3 ?

    . ( )

    3-3-2.

    .

    .

    .

    (1) (A) / () (M) / (P) /

    (S)

    .

    .

    .

    5 . 5 7,80

    . ...

    90-100 ... ...

    . 60 ,

    ...(PE )

    ex 1) A=80 / M=100 / P=60 (OLI)=(80-60)/60X100 = 33.3(%)

    33.3% .

    ex 2) (LI)=60/100 X 100 = 60(%) 60%

    .

    ... 900. ... 120 ...

    , 900 . .

    () ... . 5 ,

    ... ... ...

    . ,

    , .

    ... , . ,

    . ... 750 . .

    ... , ,

    600 , 500

    ... , , 700 700

  • - 186 -

    ... 600, 650 .

    . 10 ... .

    , , 65%? 85% .

    800 . ... ,

    800 ... (VE )

    . 400 600. 8

    600. . . ,

    , 650 700 .(VE )

    80. 80 .

    . ...

    ... ... 60 .

    10 50 .

    .(PE )

    ... . 150

    200 . 1000 . .

    . ...

    750. . . 8.

    . 300 ... 150 600 ...

    ... ... .

    ... .. ... 8

    ... 8 600 ... 8

    10 600 ... 10 8

    . .

    . ...(VE

    )

    . ... ... 100

    ... . 10 ... 80... 70, 80... .

    ... 40...

    . .. . .

    ... 10 40 ...(VE )

    . . .

    .. ... ... ... ..

    . .

    .(VE )

    17. . . .

  • - 187 -

    . 20 ... ...

    . ... ... (PE )

    , , ... ...

    . ... ... 10 .

    14 . 10 . ...

    ... 8. ?() ...

    ... , . ( )

    (2) (Over-Lodaing Index)

    .

    .

    .

    (%) (%) (%)

    (%) 25 0 78% 25% 18.6

    (%) = ( - )/ X 100

    (%)

    (%)

    .75.63.50.38.25.130.00

    10

    8

    6

    4

    2

    0

    (%)

  • - 188 -

    25

    25%

    . 25% ,

    ,

    .

    (3) (Limitation Index)

    (LI)

    .

    , .

    .

    (%) (%) (%)

    (%) 25 36.67 100.00 73.18 17.38

    (%) = / X 100

    (%)

    100.0

    95.0

    90.0

    85.0

    80.0

    75.0

    70.0

    65.0

    60.0

    55.0

    50.0

    45.0

    40.0

    35.0

    5

    4

    3

    2

    1

    0

    (%)

  • - 189 -

    25 73.18%

    12 75% , 3 95%

    .

    3-3-3.

    (1)

    .

    :

    .

    .

    .

    ... ... 11

    ... ... 9 .

    1300 1400.. ...

    ... 1400 ... .

    .. ... ... ... .,. ...

    . ...

    8 .. ... .. . (VE )

    .

    . ... 9 . 9 .

    . . . ... .

    ..(PE )

    .

  • - 190 -

    .

    , .

    , ... 11,12 .

    7,8 ... .. .. 3,4 .

    . . ...

    . . .

    .(PE )

    . ... ... .

    . , ...

    ... . . 12 . 7

    ... ( )

    , , OT

    , , ,

    , . . ... 1 2

    . . .

    . . ( )

    (2)

    10 ,

    20 .

    .

    .

    : 20

    . , ...

    ... , 15 20 .(VE )

    . . . 20

    (VE )

    . ... 10, .

    ... , 20

  • - 191 -

    . 10 . (VE )

    ... .. ?

    ... , . ...

    10 , . .

    . (PE )

    . 1

    .

    . 2 . ...

    , , . . 10, 20

    . ,

    . ... ... . ,

    , , .(

    )

    3-4.

    .

    .

    .

    .

  • - 192 -

    ,

    3-4-1.

    ... ,

    . ,

    . . . ...

    4 5 ... . ... ...

    ... . .

    .(VE )

    . ...

    ... . .

    ... . .

    . ... 1,2

    ... ...(PE )

    , , ... ... .

    ... 97... 5 . , 1

    , ..( )

    ... . . ...

    .. ..

    , ... . . ... ...

    , ... ... ...

    ... . . ...

    . ... ... .

    . . ... .

    . ... .

    . . .(PE )

  • - 193 -

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  • - 194 -

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  • - 195 -

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  • - 196 -

    4.

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  • - 197 -

    4-2.

    97 ,

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    (100 ) (x 100) (x )

  • - 198 -

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  • - 199 -

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  • - 200 -

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  • - 201 -

    ( )

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  • - 202 -

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  • - 203 -

    2)

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  • - 204 -

    3. ( 5 )

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    ) . 5

    (1998-1999-2000-2001-2002) .