2020年天津市部分医疗机构放射工作人员岗中职业健康检查结果及影响因素分析  

Analysis on results of on-the-job occupational health examination and its influencing factors among radiation workers in some medical institutions in Tianjin in 2020

作　　者：杨雪莹[1] 王大宇[2] 曾强[1] YANG Xue-ying;WANG Da-yu;ZENG Qiang(Institute for Occupational Health,Tianjin Center for Disease Control and Prevention,Tianjin,300011,China;Department of Physical Examination,Tianjin Institute for Occupational Disease Prevention and Treatment,Tianjin,300011,China)

机构地区：[1]天津市疾病预防控制中心职业健康研究所,天津300011 [2]天津市职业病防治院体检科,天津300011

出　　处：《职业与健康》2023年第7期870-874,共5页Occupation and Health

基　　金：天津市卫生健康科技项目(TJWJ2022XK040);天津市医学重点学科(专科)建设项目资助(TJYXZDXK-066B)。

摘　　要：目的进一步了解医疗机构放射工作人员的职业健康状况,为保护放射工作人员职业健康和开展健康教育提供依据。方法2021年10月对天津市1883名医疗机构放射人员岗中健康监护资料进行整理和分析,采用SPSS 24.0统计软件进行χ^(2)检验分析血象、血压、血糖、甲状腺激素异常率和眼晶体浑浊的差异性,多因素logistic回归进行血压、血糖、眼晶体异常影响因素分析。结果医疗机构放射工作人员岗中健康检查异常率最高为血压异常(19.4%),其次为晶状体浑浊(15.0%),血红蛋白异常率为4.2%(80/1883),血小板异常率为5.8%(109/1883),促甲状腺激素(thyroid stimulation hormone,TSH)异常率为3.8%(71/1883)。年龄为血压、血糖、眼晶体浑浊的独立影响因素,且随着年龄增大关联性逐渐增强,而岗位类型为血象、血压、血糖、甲状腺激素异常率和眼晶体浑浊的非独立影响因素。和一级及以下医院相比,三级医疗机构TSH异常率和血糖异常率低,差异均有统计学意义(均P<0.05),但眼晶体浑浊率高,为一级及以下医院的1.899倍(OR=1.899,95%CI:1.246~2.894)。结论在放射工作人员健康检查管理中除了重视白细胞、血小板、甲状腺激素和眼晶体异常,辐射非敏感性指标血红蛋白、红细胞异常、血压异常也应重视,加强一级及以下医院甲状腺激素、血糖健康管理和三级医疗机构工作人员用眼保护。Objective To further understand the occupational health status of radiation workers in medical institutions,provide basis for protecting occupational health of radiation workers and conducting health education.Methods In October 2021,the data of on-the-job occupational health examination of 1883 radiation workers in medical institutions in Tianjin were collected and analyzed.By the SPSS 24.0 statistical software,χ^(2) test was used to analyze the differences in the abnormal rates of hemogram,blood pressure,blood glucose,thyroid hormone and ocular lens opacity,and multivariate logistic regression was used to analyze the influencing factors of abnormal blood pressure,blood glucose and ocular lens.Results The highest abnormal rate of on-the-job physical examination of medical radiation workers was abnormal blood pressure(19.4%),followed by lens opacity(15.0%),in addition,the abnormal rate of hemoglobin was 4.2%(80/1883),the abnormal rate of platelet was 5.8%(109/1883),and the abnormal rate of thyroid stimulation hormone(TSH)was 3.8%(71/1883).The age was the independent influencing factor of blood pressure,blood glucose and ocular lens opacity,and the correlation gradually increased with age,while the post type was the nonindependent influencing factor of abnormal rate of hemogram,blood pressure,blood glucose,thyroid hormone and ocular lens opacity.Compared with hospitals at level 1 and below,the abnormal rates of TSH and blood glucose in level-3 medical institutions were lower,which the differences were statistically significant(both P<0.05),while the the ocular lens opacity rate was higher,which was 1.899 times higher than that in hospitals at level 1 and below(OR=1.899,95%CI:1.246-2.894).Conclusion In the physical examination and health management of radiation workers,in addition to paying attention to the abnormalities of leukocytes,platelets,thyroid hormones and eye crystals,the non-sensitive indicators of hemoglobin,erythrocyte and blood pressure abnormalities should also be paid attention to,and the health ma

关 键 词：放射工作人员 电离辐射 职业健康监护 影响因素 

分 类 号：R146[医药卫生—公共卫生与预防医学]