广东省2019年医院放射工作人员个人剂量水平与健康状况的调查分析  

Investigation and analysis on the individual dose level and health status of hospital radiation workers in Guangdong Province in 2019

作　　者：熊刘珊[1] 郭玮珍[1] 刘贵喜[1] 胡碧华 XIONG Liu-shan;GUO Wei-zhen;LIU Gui-xi;HU Bi-hua(Department of Radiology,Guangdong Province Hospital for Occupational Disease Prevention and Treatment,Guangdong Province,Guangzhou,510500,China)

机构地区：[1]广东省职业病防治院放射科,广东广州510500

出　　处：《中国当代医药》2021年第20期201-204,共4页China Modern Medicine

基　　金：广东省医学科学技术研究基金项目(B2019194)。

摘　　要：目的分析广东省2019年医院放射工作人员放射防护培训、受照剂量检测及职业健康体检的整体状况。方法选取2019年1—12月广东省三所三甲医院的放射工作人员共646例作为研究对象。统计研究对象受照射剂量水平情况和健康体格检查结果,比较不同专业类别和不同工龄的医院放射工作人员健康体格检查异常情况。结果年受照剂量>1.0 mSv所占比例为9.6%(62/646),年受照剂量0.5~1.0 mSv所占比例为37.2%(240/646),年受照剂量<0.5 mSv所占比例为53.3%(344/646)。646例医院放射工作人员接受健康体格检查结果当中,检出异常率最高的为眼部[24.5%(158/646)]。不同专业类别医院放射工作人员健康体格检查异常情况比较,差异无统计学意义(P>0.05)。随着工龄的增长,医院放射工作人员发生眼科、心电图及血压异常情况的发生率也呈上升趋势,差异有统计学意义(P<0.05)。结论本研究所纳入的放射工作人员在2019年度的平均受照剂量全部都符合相应的标准所要求的范围当中;2019年的健康体格检查当中,检出异常率最高的为眼部。Objective To analyze the overall situation of radiological protection training,dose detection and occupational health examination for hospital radiological workers in Guangdong Province in 2019.Methods A total of 646 radiological workers from three Grade A hospitals in Guangdong Province from January to December 2019 were selected as the research objects.The radiant dose level and health physical examination results of the subjects were stcounted,and the abnormal health physical examination of the hospital radiation staff with different professional categories and different length of service were compared.Results Annual radiant dose level of>1.0 mSv was 9.6%(62/646),annual radiant dose level of 0.5-1.0 mSv was 37.2%(240/646),annual radiant dose level of<0.5 mSv was 53.3%(344/646).A total of 646 hospital radiation staff receiving healthy physical examination,the highest rate of abnormalities was the eyes(24.5%[158/646]).The abnormal health physical examination of hospital radiation staff of different professional categories was compared,with no statistical significance(P>0.05).With the length of service,the incidence of ophthalmology,electrocardiogram and abnormal blood pressure also increased,the differences were statistically significant(P<0.05).Conclusion The average doses of radiation workers included in this study in 2019 are all within the range required by the corresponding standards.The highest rate of abnormalities detected in the 2019 Health Check is for the eyes.

关 键 词：放射工作 健康情况 受照剂量 健康管理 个人剂量 

分 类 号：R144[医药卫生—公共卫生与预防医学]