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[某市放射工作人员健康状况分析]

[Analysis of radiation workers health status in a city].

作者信息

Wang Q, Yang Y, Zhang L, Yu H J, Zhu B, Yang L T

机构信息

Hangzhou Hospital for the preverntion and Treatment of Occupational Diseases, Hangzhou 310014, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Oct 20;36(10):761-764. doi: 10.3760/cma.j.issn.1001-9391.2018.10.011.

Abstract

To investigate the health status of radiation workers in a city and provide evidence for the health management of radiation workers. To investigate the health status of radiation workers in a city and provide evidence for the health management of radiation workers. The majority of radiation workers are engaged in diagnostic radiology, male is more than female. The abnormal rate of micronuclear (0.59‰) and chromosome aberration (0.47%) was highest in nuclear medicine workers. The abnormal rate of micronuclear and chromosome aberration was similar with interventional and diagnostic radiology. Expect for micronuclear (χ(2)=32.945, <0.01) and chromosome aberration (χ(2)=75149.737, <0.01) , other radiation sensitive indicators have no difference. The abnormal rate of thyroid function (18.8%) (χ(2)=12.084, <0.01) , micronuclear (0.25‰) (χ(2)=57.359, <0.01) , chromosome aberration (0.08%) (χ(2)=17.209, <0.01) in group whose service length exceeding 20 years was higher than other service length groups. There is no statistical difference in other radiation sensitive indicators among different service length group. Long-term low doses of ionizing radiation could affect radiation worker's health, expecially radiation workers engaged in nuclear medicine and radiotherapy. We must pay attention to occupaitonal health care and management to ensure radiation worker's health.

摘要

调查某城市放射工作人员的健康状况,为放射工作人员的健康管理提供依据。该城市大部分放射工作人员从事放射诊断工作,男性多于女性。核医学工作人员的微核异常率(0.59‰)和染色体畸变率(0.47%)最高。介入放射学和放射诊断学的微核和染色体畸变异常率相似。除微核(χ(2)=32.945,<0.01)和染色体畸变(χ(2)=75149.737,<0.01)外,其他辐射敏感指标无差异。工龄超过20年组的甲状腺功能异常率(18.8%)(χ(2)=12.084,<0.01)、微核(0.25‰)(χ(2)=57.359,<0.01)、染色体畸变(0.08%)(χ(2)=17.209,<0.01)高于其他工龄组。不同工龄组其他辐射敏感指标无统计学差异。长期低剂量电离辐射可影响放射工作人员健康,尤其是从事核医学和放射治疗的放射工作人员。必须重视职业卫生保健和管理,以保障放射工作人员的健康。

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