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[介入放射学工作人员血液指标影响因素的调查]

[Investigation on influencing factors of blood indexes of interventional radiology workers].

作者信息

Wang L D, Na X J, Zhao J, Sun S M

机构信息

Liaoning Center for Disease Control and Prevention, Shenyang 110005, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021 Dec 20;39(12):924-928. doi: 10.3760/cma.j.cn121094-20210511-00248.

Abstract

To analyze the influencing factors of blood indicators indexes of interventional radiology workers, and provide a theoretical basis for radiological occupational health monitoring, radiation protection monitoring and risk assessment. In March 2020, a total of 500 interventional radiology workers (interventional group) and 200 non-interventional radiology workers (control group) who underwent an occupational health examination in Liaoning Center for Disease Control and Prevention from 2018 to 2019 were selected as the subjects. The general information, occupation related information, blood routine, fasting blood glucose and thyroid stimulating hormone test results of the subjects were collected. The differences in the levels and abnormal detection rates of blood indexes between the two groups were compared. And the influencing factors of blood indexes of the intervention riodiology workers were analyzed. The lymphocyte count of interventional group[2.10 (1.70, 2.50) ×10(9)/L] was lower than that of control group[2.20 (1.80, 2.60) ×10(9)/L], the difference was statistically significant (<0.05) . The white blood cell count and lymphocyte count of interventional workers in the service age≤13 years were higher than those of service age≥28 years group, and fasting blood glucose was lower than those of service age ≥28 years group (<0.05) . The detection rate of abnormal fasting blood glucose of interventional radiology workers in the service age ≤13 years group was lower than that of the service age 14-27 years and service age ≥28 years (<0.05) . The lymphocyte count and platelet count of interventional radiology workers in annual effective dose<0.5 mSv group was higher than that of annual effective dose≥1 mSv group (<0.05) . The results of multi-factor linear regression analysis showed that service age, annual effective dose and female gender were the influencing factors of lymphocyte count of interventional radiology workers (=-0.008, -0.110, -0.167, <0.05) . Long-term low-dose radiation exposure had certain influence on the lymphocyte count of interventional radiology workers. Service age, annual effective dose and gender are the influencing factors of lymphocyte count in interventional radiology workers. It should be reinforced to the radiological protection monitoring and risk assessment on interventional radiology workers.

摘要

分析介入放射学工作人员血液指标的影响因素,为放射职业健康监护、辐射防护监测及风险评估提供理论依据。选取2018年至2019年在辽宁省疾病预防控制中心进行职业健康检查的500名介入放射学工作人员(介入组)和200名非介入放射学工作人员(对照组)作为研究对象。收集研究对象的一般资料、职业相关信息、血常规、空腹血糖及促甲状腺激素检测结果。比较两组血液指标水平及异常检出率,并分析介入放射学工作人员血液指标的影响因素。介入组淋巴细胞计数为[2.10(1.70,2.50)×10⁹/L],低于对照组[2.20(1.80,2.60)×10⁹/L],差异有统计学意义(<0.05)。介入工作人员工龄≤13年组白细胞计数和淋巴细胞计数高于工龄≥28年组,空腹血糖低于工龄≥28年组(<0.05)。介入放射学工作人员工龄≤13年组空腹血糖异常检出率低于工龄14 - 27年组和工龄≥28年组(<0.05)。介入放射学工作人员年有效剂量<0.5 mSv组淋巴细胞计数和血小板计数高于年有效剂量≥1 mSv组(<0.05)。多因素线性回归分析结果显示,工龄、年有效剂量及女性性别是介入放射学工作人员淋巴细胞计数的影响因素(β=-0.008,-0.110,-0.167,P<0.05)。长期低剂量辐射暴露对介入放射学工作人员淋巴细胞计数有一定影响。工龄、年有效剂量及性别是介入放射学工作人员淋巴细胞计数的影响因素。应加强对介入放射学工作人员的放射防护监测及风险评估。

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