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里耶卡临床医院中心个人剂量监测覆盖的医务人员职业辐射暴露趋势(2000年至2015年)

Trends in Professional Radiation Exposures of Medical Staff Covered by Personal Dose Monitoring at a Rijeka Clinical Hospital Centre (2000 to 2015).

作者信息

Žauhar Gordana, Dresto-Alač Branka

机构信息

University of Rijeka, Faculty of Medicine, Department of Medical Physics and Biophysics, Braće Branchetta 20, 51 000 Rijeka, Croatia and University of Rijeka, Department of Physics, Radmile Matejčić 2, 51 000 Rijeka, Croatia.

University of Rijeka, Faculty of Health Studies, Viktora Cara Emina 5, 51 000 Rijeka, Croatia.

出版信息

Health Phys. 2021 Mar 1;120(3):308-315. doi: 10.1097/HP.0000000000001321.

Abstract

The increase in the number of radiological procedures observed in recent years also means greater exposure to ionizing radiation for the medical staff performing these procedures. This is most pronounced in the teams that perform interventional and invasive radiological procedures. The aim of this study was to examine the impact of increasing numbers of radiological procedures on the effective dose received by medical staff and to determine which professions received the highest exposure to ionizing radiation. Data for effective doses of 326 employees of Rijeka Clinical Hospital Centre covered by personal dosimetry in the period from 2000 to 2015 have been analyzed. Employees were divided by sex, by departments in which they were employed, and according to their professions. The analysis has shown that the exposure level of workers working in the ionizing radiation zone is typically well below the dose limits. During 2015, most employees (over 96.3%) received an annual effective dose of less than 0.1 mSv. Only three persons received an annual dose higher than 0.5 mSv, and one person received an annual dose of 6.9 mSv. Comparison of the radiation exposure doses of medical workers of different professions has shown that the highest dose of radiation is received by cardiologists involved in interventional cardiology procedures. Therefore, the additional need is to take care of their protection, check the manner of their work, and ensure more even workload of cardiologists participating in procedures that involve higher exposure to ionizing radiation.

摘要

近年来观察到的放射检查程序数量的增加,也意味着执行这些程序的医务人员会更多地暴露于电离辐射中。这在进行介入性和侵入性放射程序的团队中最为明显。本研究的目的是检查放射程序数量增加对医务人员所接受的有效剂量的影响,并确定哪些职业受到的电离辐射暴露最高。已对2000年至2015年期间里耶卡临床医院中心326名接受个人剂量测定的员工的有效剂量数据进行了分析。员工按性别、受雇部门以及职业进行了划分。分析表明,在电离辐射区域工作的人员的暴露水平通常远低于剂量限值。在2015年期间,大多数员工(超过96.3%)的年度有效剂量低于0.1毫希沃特。只有三人的年度剂量高于0.5毫希沃特,一人的年度剂量为6.9毫希沃特。不同职业医务人员的辐射暴露剂量比较表明,参与介入性心脏程序的心脏病专家接受的辐射剂量最高。因此,额外需要注意对他们的防护,检查他们的工作方式,并确保参与涉及更高电离辐射暴露程序的心脏病专家的工作量更加均衡。

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