^(125)I放射性粒子植入术后患者专用防辐射口罩的设计及应用效果  

Design and application of a special mask for ^(125)I radioactive seed implantation

作　　者：王明玲[1] 赵丽[2] 王红[1] 王兴[3] 孟箭[3] Wang Mingling;Zhao Liz;Wang Hong;Wang Xing;Meng Jian(Operation Room;Department of Nursing,3Department of Stomatology,Xuzhou Central Hospital of Jiangsu Province,Xuzhou 221009,China)

机构地区：[1]江苏省徐州市中心医院手术室,221009 [2]江苏省徐州市中心医院护理部,221009 [3]江苏省徐州市中心医院口腔科,221009

出　　处：《中华介入放射学电子杂志》2018年第4期344-346,共3页Chinese Journal of Interventional Radiology：electronic edition

基　　金：江苏省卫生计生委科研课题(H2017080);徐州市医学创新团队(XWCX201604)

摘　　要：目的:评价给^(125)I放射粒子植入术后患者佩戴防辐射口罩对^(125)I放射粒子辐射的防护效果。方法:选取我院2015年12月至2017年12月因腭部腺样囊性癌行^(125)I放射粒子植入术治疗的患者36例,将其随机分为对照组和试验组,每组18例。对照组术后采用距离防辐射,试验组术后采用^(125)I放射粒子植入术后患者专用口罩,监测并比较距离两组对象0、20、50 cm的辐射剂量。结果:对照组与试验组植入的^(125)I数分别为(30±3)颗和(31±2)颗,差异无统计学意义(t=1.177,P=0.248)。试验组术后接受的辐射剂量远低于对照组,差异有统计学意义(P<0.001)。且试验组监测的辐射剂量符合国家标准规定的辐射剂量的公众限值2.5μSv/h以下。结论:使用防辐射口罩可以有效降低和屏蔽手术后^(125)I放射性粒子对外界的放射,使患者可以正常的与外界交流和生活,促进身体恢复,提高患者满意度。objective： in order to reduce the distance between 125I radioactive particle implantation patients and their family members, we developed a radiation-proof mask and discussed its clinical application. Methods： from December 2015 to December 2017, 36 patients with adenoid cystic carcinoma of palate treated with 125I radioactive seed implantation were randomly divided into control group and experimental group. Control group （n = 18） and experimental group （n = 18）. The control group was treated with distance protection and the test group with 125i radioactive seed implantation. Use of radiation-proof apparatus Two groups of subjects were monitored and the radiation dose of 0 cm ,20cm ,50 cm was monitored. Results： it was found that the radiation dose of I125 seed implanted mask was much lower than that of the non-mask group （P 〈 0.01） after 125I radioactive seed implantation （Table 2）. After wearing 125I radioactive particle implantation, the mean dose monitored after the operation was in accordance with the public limit of 2.5 u Sv / h stipulated by the national standard. Conclusion： radiation mask can eftectively reduce and shield the radiation of 125I radioactive particles to the outside world after surgery, so the patients can communicate with the outside world and normal life, promote physical recovery, and the patient satistaction can be improved.

关 键 词：腭部恶性肿瘤 ^125I放射性粒子 防辐射 防辐射口罩 

分 类 号：R472[医药卫生—护理学]