全国医疗机构放射工作人员2018年职业健康监测结果分析  

Result analysis of occupational health monitoring on radiation workers in national medical institutions in 2018

作　　者：郝述霞[1] 邓君[1] 刘晓惠[1] 刘建香[1] 李小亮[1] HAO Shuxia;DENG Jun;LIU Xiaohui;LIU Jianxiang;LI Xiaoliang(Key Laboratory of Radiological Protection and Nuclear Emergency,China CDC,National Institute for Radiological Protection,Chinese Center for Disease Control and Prevention,Beijing 100088,China)

机构地区：[1]中国疾病预防控制中心辐射防护与核安全医学所,辐射防护与核应急中国疾病预防控制中心重点实验室,北京100088

出　　处：《中国职业医学》2020年第6期701-704,共4页China Occupational Medicine

摘　　要：目的分析2018年全国医疗机构放射工作人员职业健康监测结果。方法通过"全国放射卫生信息平台"子系统"职业性放射性疾病与职业健康监测系统"收集2018年全国各省、自治区、直辖市放射诊疗机构概况、职业健康管理情况、职业健康检查信息等监测数据进行分析。结果 2018年全国共有55 902家放射诊疗机构,353 141名放射工作人员;全国和监测医院的个人剂量监测率分别为94.6%(334 222/353 141)和97.3%(91 051/93 559),职业健康检查率分别为84.6%(298 914/353 141)和95.4%(87 031/91 244);放射工作人员周围血淋巴细胞染色体畸变人员检出率为0.3%,介入放射学和核医学工作人员眼晶状体后囊下混浊率为4.3%,甲状腺结节检出率为25.7%。结论我国医疗机构放射工作人员个人剂量监测率和职业健康检查率均保持在较高水平;但仍应高度关注周围血淋巴细胞染色体畸变分析、眼晶状体及甲状腺的检查。Objective To analyze the results of occupational health monitoring on radiation workers in national medical institutions in 2018. Methods Through the National Radiation Health Information Platform Subsystem Occupational Radiation Diseases and Occupational Health Monitoring System, the monitoring data including the overview of radiological diagnosis and treatment institutions, occupational health management, and occupational health examination information across the country were collected for analysis in 2018. Results In 2018, there were a total of 55 902 radiological diagnosis and treatment institutions with 353 141 radiation workers nationwide. The radiation dose monitoring rate on individuals and hospitals was 94.6%(334 222/353 141) and 97.3%(91 051/93 559), respectively. The rate of health examination was 84.6%(298 914/353 141) and 95.4%(87 031/91 244) respectively.The monitoring rate on chromosomal aberration in peripheral blood lymphocytes was 0.3% in radiation workers. The rate of opacity under the posterior lens capsule was 4.3% and the rate of thyroid nodules was 25.7% in interventional radiology and nuclear medicine workers. Conclusions The personal dose monitoring rate and occupational health examination rate of radiation workers in medical institutions in China are maintained at a relatively high level. However, monitoring attention should also be paid to the analysis of chromosome aberrations in peripheral blood lymphocytes, the examination of eye lens and thyroid gland.

关 键 词：放射工作人员 个人剂量监测 职业健康检查 辐射防护 

分 类 号：R134[医药卫生—劳动卫生] R14[医药卫生—公共卫生与预防医学]