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疼痛医学专家水平考试考生的辐射安全与教育。

Radiation safety and education in the applicants of the final test for the expert of pain medicine.

机构信息

Department of Anesthesiology and Pain Medicine, Konkuk University Hospital, Seoul, Korea.

出版信息

Korean J Pain. 2012 Jan;25(1):16-21. doi: 10.3344/kjp.2012.25.1.16. Epub 2012 Jan 2.

Abstract

BACKGROUND

The C-arm fluoroscope is known as the most important equipment in pain interventions. This study was conducted to investigate the completion rate of education on radiation safety, the knowledge of radiation exposure, the use of radiation protection, and so on.

METHODS

Unsigned questionnaires were collected from the 27 pain physicians who applied for the final test to become an expert in pain medicine in 2011. The survey was composed of 12 questions about the position of the hospital, the kind of hospital, the use of C-arm fluoroscopy, radiation safety education, knowledge of annual permissible radiation dose, use of radiation protection, and efforts to reduce radiation exposure.

RESULTS

In this study, although most respondents (93%) had used C-arm fluoroscopy, only 33% of the physicians completed radiation safety education. Even though nine (33%) had received education on radiation safety, none of the physicians knew the annual permissible radiation dose. In comparing the radiation safety education group and the no-education group, the rate of wearing radiation-protective glasses or goggles and the use of radiation badges or dosimeters were significantly higher in the education group. However, in the use of other protective equipment, knowledge of radiation safety, and efforts to reduce radiation exposure, there were no statistical differences between the two groups.

CONCLUSIONS

The respondents knew very little about radiation safety and had low interest in their radiation exposure. To make the use of fluoroscopy safer, additional education, as well as attention to and knowledge of practices of radiation safety are required for pain physicians.

摘要

背景

C 臂透视机被称为疼痛介入治疗中最重要的设备。本研究旨在调查有关辐射安全、辐射暴露知识、辐射防护使用等方面的教育完成率。

方法

对 2011 年申请疼痛医学专家终考的 27 名疼痛医师进行无记名问卷调查。调查问卷由 12 个问题组成,涉及医院位置、医院类型、C 臂透视机使用、辐射安全培训、年允许辐射剂量知识、辐射防护使用以及降低辐射暴露的努力等。

结果

尽管大多数受访者(93%)使用过 C 臂透视机,但只有 33%的医生完成了辐射安全培训。尽管有 9 名(33%)接受过辐射安全培训,但没有医生知道年允许辐射剂量。在比较辐射安全培训组和无培训组时,培训组佩戴辐射防护眼镜或护目镜以及使用辐射徽章或剂量计的比例明显更高。然而,在使用其他防护设备、辐射安全知识以及降低辐射暴露的努力方面,两组之间没有统计学差异。

结论

受访者对辐射安全知之甚少,对自身的辐射暴露也不感兴趣。为了使透视机的使用更安全,疼痛医师需要接受额外的教育,并关注和了解辐射安全实践。

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