Wang C, Mo S F, Zhang J B, Li J R, Huang R L, Tan H Y
Radiological Health Department, Guangzhuo Center for Disease Control and Prevention, Guangzhou 510440, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2017 Aug 20;35(8):594-597. doi: 10.3760/cma.j.issn.1001-9391.2017.08.010.
To determine the personal dose level of radiation workers in medical institutions at the municipal level and below in a city, and to provide a scientific support for strengthening the radiation protection in the city's medical institutions. Information of the successful applicants for the "Radiation Worker Permit" from 174 medical institutions at the municipal level and below was collected from October 1, 2011 to December 31, 2014. The annual effective dose was calculated based on the personal dose monitoring report, and indicators including sex, permit application time, hospital level, type of occupational radiation, length of radiation work, blood test, and micronucleated lymphocyte rate were analyzed. Of the 1 143 radiation worker permit applications submitted by medical institutions the municipal level and below in this city from 2011 to 2014, 1 123 provided at least one personal dose monitoring report. The annual effective dose of the radiation workers was 0-4.76 mSv (mean 0.31±0.40 mSv) , and the collective annual effective dose was 351.96 mSv. The annual effective dose was significantly different between radiation workers with different times of permit application, hospital levels, and types of occupational radiation (<0.05) . Interventional radiology workers had the highest annual effective dose (0.63 mSv) , and annual effective dose was significantly different between interventional radiology workers with different lengths of radiation work (=10.812, <0.05) . The personal radiation dose of radiation workers in medical institutions at the municipal level and below in this city is maintained at a relatively low level, suggesting that the occupational environment is relatively safe for these workers. However, more focus should be placed on clinical interventional radiology workers.
为确定某市市级及以下医疗机构放射工作人员的个人剂量水平,为加强该市医疗机构的放射防护提供科学依据。收集了2011年10月1日至2014年12月31日期间该市174家市级及以下医疗机构“放射工作人员证”持证人员的信息。根据个人剂量监测报告计算年有效剂量,并对性别、领证时间、医院级别、职业照射类型、放射工作年限、血液检查、淋巴细胞微核率等指标进行分析。该市2011 - 2014年市级及以下医疗机构提交的1143份放射工作人员证申请中,1123份提供了至少一份个人剂量监测报告。放射工作人员的年有效剂量为0 - 4.76 mSv(均值0.31±0.40 mSv),集体年有效剂量为351.96 mSv。不同领证时间、医院级别、职业照射类型的放射工作人员年有效剂量差异有统计学意义(<0.05)。介入放射学工作人员年有效剂量最高(0.63 mSv),不同放射工作年限的介入放射学工作人员年有效剂量差异有统计学意义(=10.812,<0.05)。该市市级及以下医疗机构放射工作人员的个人受照剂量处于较低水平,表明职业环境对这些工作人员相对安全。但应更关注临床介入放射学工作人员。