甘肃省放射工作人员职业健康检查血液指标分析  

Analysis of blood indicators in occupational health examination of radiation workers in Gansu Province,China

作　　者：吴小琴[1] 李烨[1] 刘刚[1] 邬家龙[1] 邸宏杰[1] WU Xiaoqin;LI Ye;LIU Gang;WU Jialong;DI Hongjie(Gansu Provincial Center for Disease Control and Prevention,Lanzhou 730000 China)

机构地区：[1]甘肃省疾病预防控制中心,甘肃兰州730000

出　　处：《中国辐射卫生》2024年第5期530-534,共5页Chinese Journal of Radiological Health

基　　金：甘肃省自然科学基金(22JR11RA186)。

摘　　要：目的探讨职业接触电离辐射对放射工作人员血液指标的影响,为做好职业健康监护提供依据。方法以2021年1月1日—2022年12月31日在甘肃省疾控中心参加职业健康检查的3853名放射工作人员为研究对象。分析空腹血糖、肾功能、肝功能、白细胞计数、血小板计数、淋巴细胞微核检测结果。结果男性空腹血糖、肝功能异常检出率高于女性,肾功能、白细胞计数、血小板计数、淋巴细胞微核异常检出率低于女性,差异有统计学意义(P<0.05);≥21年工龄段空腹血糖、肝功能、淋巴细胞微核异常检出率高于≤10年工龄段,差异有统计学意义(P<0.05);非医疗组空腹血糖异常检出率高于诊断放射学、放射治疗,介入放射学组;医疗机构一级组空腹血糖异常检出率高于三级组,肝功能异常检出率高于二级组和三级组,差异有统计学意义(P<0.05)。结论长期职业接触电离辐射会对人体造成一定辐射损伤,非医疗和男性放射工作人员应加强健康教育,预防慢性代谢性疾病的发生。Objective To investigate the effects of occupational exposure to ionizing radiation on blood indicators of radi-ation workers,and to provide evidence for occupational health monitoring.Methods This study included 3853 radiation workers who participated in occupational health examination in Gansu Provincial Center for Disease Control and Prevention from January 1,2021 to December 31,2022.The results of fasting blood glucose,renal function,liver function,white blood cell count,platelet count,and lymphocyte micronucleus were analyzed.Results The detection rates of abnormal fasting blood glucose and liver function were significantly higher in males than in females(P<0.05),and the detection rates of ab-normal renal function,white blood cell count,platelet count,and lymphocyte micronucleus were significantly lower in males than in females(P<0.05).The detection rates of abnormal fasting blood glucose,liver function,and lymphocyte micronuc-leus were significantly higher in radiation workers with≥21 years of working experience than those with≤10 years of working experience(P<0.05).The detection rate of abnormal fasting blood glucose was significantly higher in the non-medical group than in the diagnostic radiology,radiation therapy,and interventional radiology groups(P<0.05).The detec-tion rate of abnormal fasting blood glucose was significantly higher in the primary medical institution group than in the ter-tiary medical institution group(P<0.05).The detection rate of abnormal liver function was significantly higher in the primary medical institution group than in the secondary and tertiary medical institution groups(P<0.05).Conclusion Long-term occupational exposure to ionizing radiation may cause radiation damage to the human body.Health education should be strengthened for non-medical and male radiation workers to prevent the occurrence of chronic metabolic diseases.

关 键 词：放射工作人员 职业健康 电离辐射 检出率 

分 类 号：X591[环境科学与工程—环境工程]