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瑞典医疗中的非电离辐射:接触与安全问题。

Non-Ionizing Radiation in Swedish Health Care-Exposure and Safety Aspects.

机构信息

Department of Radiation Sciences, Umeå University, S-90185 Umeå, Sweden.

出版信息

Int J Environ Res Public Health. 2019 Apr 2;16(7):1186. doi: 10.3390/ijerph16071186.

Abstract

The main aim of the study was to identify and describe methods using non-ionizing radiation (NIR) such as electromagnetic fields (EMF) and optical radiation in Swedish health care. By examining anticipated exposure levels and by identifying possible health hazards we also aimed to recognize knowledge gaps in the field. NIR is mainly used in health care for diagnosis and therapy. Three applications were identified where acute effects cannot be ruled out: magnetic resonance imaging (MRI), transcranial magnetic stimulation (TMS) and electrosurgery. When using optical radiation, such as class 3 and 4 lasers for therapy or surgical procedures and ultra-violet light for therapy, acute effects such as unintentional burns, photo reactions, erythema and effects on the eyes need to be avoided. There is a need for more knowledge regarding long-term effects of MRI as well as on the combination of different NIR exposures. Based on literature and after consulting staff we conclude that the health care professionals' knowledge about the risks and safety measures should be improved and that there is a need for clear, evidence-based information from reliable sources, and it should be obvious to the user which source to address.

摘要

本研究的主要目的是识别和描述瑞典医疗保健中使用非电离辐射(NIR)的方法,如电磁场(EMF)和光辐射。通过检查预期的暴露水平,并确定可能存在的健康危害,我们还旨在识别该领域的知识空白。NIR 主要用于医疗保健中的诊断和治疗。有三种应用可以排除急性效应:磁共振成像(MRI)、经颅磁刺激(TMS)和电外科。当使用光辐射,如治疗或手术过程中的 3 类和 4 类激光以及用于治疗的紫外线时,需要避免急性效应,如意外烧伤、光反应、红斑和对眼睛的影响。需要更多关于 MRI 的长期影响以及不同 NIR 暴露的组合的知识。基于文献并咨询工作人员后,我们得出结论,需要提高医疗保健专业人员对风险和安全措施的认识,需要来自可靠来源的明确、基于证据的信息,并且应该让用户清楚地知道应该参考哪个来源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e56/6479478/7866047f6cf0/ijerph-16-01186-g001.jpg

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