2022年四川省放射性职业健康体检机构实验室现况分析  

Analysis on the laboratory status of radiological occupational health examination institutions in Sichuan Province in 2022

作　　者：凌攀[1] 赵芹弘 陈曦阳[1] 赵仪[1] 葛芾显 王晓凤[1] 杨柳莹[1] 曾珍 LING Pan;ZHAO Qinhong;CHEN Xiyang;ZHAO Yi;GE Fuxian;WANG Xiaofeng;YANG Liuying;ZENG Zhen(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2023年第7期842-845,共4页Journal of Preventive Medicine Information

摘　　要：目的 分析2022年四川省放射性职业健康体检机构的实验室检测能力,为提升全省放射体检机构检测总体水平提供依据。方法 收集2022年在四川省质控中心备案的81家机构相关资料,通过问卷调查和考核测评的方法,了解检测机构的总体水平和实验室能力,将收集结果作整理分析。结果 81家机构中,公立医院42家(51.85%),民营医院26家(32.10%),疾控8家(9.88%),防治院/科研院1家(1.23%),职工医院1家(1.23%),其他3家(3.70%)。以区县级医疗机构为主(50.62%)。实验环境方面:67家机构具备独立实验室和阅片室(82.72%)。仪器设备方面:81家备案机构均具备生化分析仪、血细胞分析仪、尿液分析仪、显微镜;28家有染色体自动扫描分析仪(34.57%);人员资质方面:45家机构具备染色体畸变和微核分析资质(50.62%),疾控科研机构7家(15.56%)、公立及职工医院16家(35.56%)、民营及其他机构22家(48.89%)。3类机构取得资质的情况对比分析,差异有统计学意义(χ^(2)=12.933,P=0.002);实验室检测能力方面:理论测评合格率为100%,阅片考核合格率为60.87%。结论 全省备案放射性职业健康体检机构较多,但实验室能力相对较弱,尤其是阅片能力发展不平衡,需加强机构的管理监督和实验人员的能力培养,进一步提高和完善四川放射职业健康体检工作。Objective To analyze the laboratory testing capacity of radiological occupational health examination institutions in Sichuan Province in 2022 and to provide basis for improving the overall testing level of radiation occupational health examination institutions in Sichuan Province.Methods The relevant data of 81 institutions registered in Sichuan Quality Control Center in 2022 were collected,and the overall level and laboratory capacity of testing institutions were understood through questionnaire survey and assessment.The results were collected,collated and analyzed.Results Among the 81 institutions,there were 42 public hospitals(51.85%),26 private hospitals(32.10%),8 disease prevention and control centers(9.88%),1 prevention and treatment hospital/scientific research institute(1.23%),1 staff hospital(1.23%)and 3 other institutions(3.70%).Medical institutions at district/county levels were the main ones(50.62%).From the perspective of experimental environment,67 institutions had independent laboratories and film reading rooms(82.72%).From the perspective of instruments and equipment,all of the 81 registered institutions had biochemical analyzers,blood cell analyzers,urine analyzers and microscopes,and 28 had chromosome automatic scanning analyzers(34.57%).From the perspective of personnel qualification,45 institutions were qualified for chromosome aberration and micronucleus analysis(50.62%),including 7 disease control research institutions(15.56%),16 public and staff hospitals(35.56%)and 22 private and other institutions(48.89%).The comparison and analysis of the qualifications obtained by the three types of institutions showed that the difference was statistically significant(χ^(2)=12.933,P=0.002).From the perspective of laboratory testing ability,the qualified rate of theoretical evaluation was 100%,and the qualified rate of film reading assessment was 60.87%.Conclusions There are many registered radiological occupational health examination institutions in Sichuan Province,but the laboratory capacity is relat

关 键 词：职业性放射体检 实验室检测 能力分析 

分 类 号：R144[医药卫生—公共卫生与预防医学]