介入放射工作人员血液指标影响因素调查  

Investigation on influencing factors of blood indexes of interventional radiology workers

作　　者：王丽东[1] 那向杰 赵杰 孙素梅 Wang Lidong;Na Xiangjie;Zhao Jie;Sun Sumei(Liaoning Center for Disease Control and Prevention,Shenyang 110005,China)

机构地区：[1]辽宁省疾病预防控制中心,沈阳110005

出　　处：《中华劳动卫生职业病杂志》2021年第12期924-928,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：辽宁省科学技术计划项目(2018225044)。

摘　　要：目的分析介入放射工作人员血液指标的影响因素,为开展放射性职业健康监护、辐射防护监测及风险评估提供理论依据。方法于2020年3月,选取2018至2019年在辽宁省疾病预防控制中心进行职业健康检查的500名介入放射工作人员(介入组)和200名非介入放射工作人员(对照组)为调查对象,收集调查对象一般情况、职业相关信息、血常规、空腹血糖以及促甲状腺激素检查结果,比较两组调查对象血液指标水平及异常检出率的差异,并分析介入放射工作人员血液指标的影响因素。结果介入组淋巴细胞计数[2.10(1.70,2.50)×10^(9)/L]低于对照组[2.20(1.80,2.60)×10^(9)/L](P<0.05)。工龄≤13年组介入放射工作人员白细胞计数、淋巴细胞计数高于工龄≥28年组,空腹血糖低于工龄≥28年组(P<0.05);工龄≤13年组介入放射工作人员空腹血糖异常检出率低于工龄14~27年组和工龄≥28年组(P<0.05);年有效剂量<0.5 mSv组介入放射工作人员淋巴细胞计数和血小板计数高于年有效剂量≥1 mSv组(P<0.05)。多因素线性回归分析结果显示,工龄、年有效剂量、性别为女性是介入放射工作人员淋巴细胞计数的影响因素(b=-0.008、-0.110、-0.167,P<0.05)。结论长期低剂量射线暴露对介入放射工作人员淋巴细胞计数具有一定影响,工龄、年有效剂量、性别是其主要影响因素,应加强介入放射工作人员放射防护的监测和风险评估。Objective To analyze the influencing factors of blood indicators indexes of interventional radiology workers,and provide a theoretical basis for radiological occupational health monitoring,radiation protection monitoring and risk assessment.Methods In March 2020,a total of 500 interventional radiology workers(interventional group)and 200 non-interventional radiology workers(control group)who underwent an occupational health examination in Liaoning Center for Disease Control and Prevention from 2018 to 2019 were selected as the subjects.The general information,occupation related information,blood routine,fasting blood glucose and thyroid stimulating hormone test results of the subjects were collected.The differences in the levels and abnormal detection rates of blood indexes between the two groups were compared.And the influencing factors of blood indexes of the intervention riodiology workers were analyzed.Results The lymphocyte count of interventional group[2.10(1.70,2.50)×10^(9)/L]was lower than that of control group[2.20(1.80,2.60)×10^(9)/L],the difference was statistically significant(P<0.05).The white blood cell count and lymphocyte count of interventional workers in the service age≤13 years were higher than those of service age≥28 years group,and fasting blood glucose was lower than those of service age≥28 years group(P<0.05).The detection rate of abnormal fasting blood glucose of interventional radiology workers in the service age≤13 years group was lower than that of the service age 14-27 years and service age≥28 years(P<0.05).The lymphocyte count and platelet count of interventional radiology workers in annual effective dose<0.5 mSv group was higher than that of annual effective dose≥1 mSv group(P<0.05).The results of multi-factor linear regression analysis showed that service age,annual effective dose and female gender were the influencing factors of lymphocyte count of interventional radiology workers(b=-0.008,-0.110,-0.167,P<0.05).Conclusion Long-term low-dose radiation exposure had cert

关 键 词：放射学 介入性 职业健康 电离辐射 血常规 促甲状腺激素 

分 类 号：R148[医药卫生—公共卫生与预防医学]