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评估诊断性放射检查中的放射防护原则:准直、曝光参数以及患者及其陪检者防护设备的使用。

Evaluating the principles of radiation protection in diagnostic radiologic examinations: collimation, exposure factors and use of protective equipment for the patients and their companions.

机构信息

Faculty of Medicine, Department of Medical Physics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Faculty of Paramedicine, Department of Radiologic Technology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Med Radiat Sci. 2020 Jun;67(2):119-127. doi: 10.1002/jmrs.384. Epub 2020 Mar 9.

DOI:10.1002/jmrs.384
PMID:32149477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7276186/
Abstract

INTRODUCTION

Producing appropriate diagnostic images along with patient radiation protection is the goal of radiography. Due to the advancements of radiography, concerns about observing the principles of radiation protection exist. Therefore, this study aimed to evaluate the observance of the principles of radiation protection in radiographic examinations with emphasis on field size collimation, suitability of exposure factors and the use of protective equipment for the patients and their companions.

METHODS

Using a cross-sectional study design, two radiography students on their final year of study observed 100 radiographic examinations from the imaging departments of five educational hospitals. The SPSS version 24 software was used to analyse the results.

RESULTS

The radiation field collimation was obtained in 46% of the studied radiographs. Patients had companions present during the examination in 26% of the studies; however, protective equipment was only used for 4% of the patients' companions, and no protective equipment was applied for patients. The observance rate of the various principles of radiation protection including field size restriction, the use of protective equipment for the patients and their companions, and suitability of the selected exposure factors was on average 44.6%.

CONCLUSION

The observance rate of the principles of radiation protection was insufficient in the studied educational hospitals, specifically in field size collimation and the use of protective equipment for the patients and their companions. Therefore, emphasis on the strict implementation of the radiation protection guidelines and continuous training of radiographers are required.

摘要

简介

生产适当的诊断图像并保护患者免受辐射是放射学的目标。由于放射学的进步,人们对遵守辐射防护原则存在担忧。因此,本研究旨在评估放射摄影检查中辐射防护原则的遵守情况,重点是射线野准直、曝光参数的适用性以及为患者及其陪同人员使用防护设备。

方法

采用横断面研究设计,两名放射学专业的大四学生观察了来自五所教学医院影像科的 100 例放射摄影检查。使用 SPSS 版本 24 软件对结果进行分析。

结果

在研究的放射片中,有 46%的射线野得到了准直。在 26%的研究中,患者在检查时有陪同人员在场;然而,仅为 4%的患者陪同人员使用了防护设备,而患者则没有使用防护设备。包括射线野限制、为患者及其陪同人员使用防护设备以及选择合适的曝光参数等各项辐射防护原则的遵守率平均为 44.6%。

结论

在所研究的教学医院中,辐射防护原则的遵守率不足,特别是在射线野准直和为患者及其陪同人员使用防护设备方面。因此,需要强调严格执行辐射防护指南和对放射技师进行持续培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4976/7276186/8db185e1d911/JMRS-67-119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4976/7276186/9c4cba14dc9d/JMRS-67-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4976/7276186/8db185e1d911/JMRS-67-119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4976/7276186/9c4cba14dc9d/JMRS-67-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4976/7276186/8db185e1d911/JMRS-67-119-g002.jpg

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