Clinic of Diagnostic and Interventional Radiology, Philipps-University of Marburg, Marburg, Germany.
Institute of Medical Physics and Radiation Protection, Mittelhessen University of Applied Sciences, Giessen, Germany.
PLoS One. 2022 Jul 21;17(7):e0271664. doi: 10.1371/journal.pone.0271664. eCollection 2022.
Multiple studies show orthopedic health problems for medical staff due to wearing radiation protection aprons. The aim of this study was to evaluate the weight pressure on the shoulder as a marker of physical strain caused by different radiation-protection devices.
For the weight pressure measurement, a pressure sensor (OMD-30-SE-100N, OptoForce, Budapest, Hungary) placed on the left and right shoulder was used. Wearing different radiation protection systems the force measurement system was used to quantify the weight pressure. Measurements were acquired in still standing position and during various movements.
A mean significant decreasing weight pressure on the shoulder between 74% and 84% (p<0.001) was measured, when the free-hanging radiation protection system was used in comparison to one-piece and two-piece radiation protection aprons and coats. Using two-piece radiation protection aprons, the weight pressure was significantly lower than that of one-piece radiation protection coats. If a belt was used for the one-piece radiation protection coat, the weight pressure on the shoulder was reduced by 32.5% (p = 0.003). For a two-piece radiation protection apron and a one-piece radiation protection coat (with and without belt) a significant different weight pressure distribution between the right and left shoulder could be measured.
The free-hanging radiation protection system showed a significant lower weight pressure in comparison to the other radiation protection devices. Apart from this, use of a two-piece radiation protection apron or addition of a belt to a radiation protection coat proved to be further effective options to reduce weight pressure.
多项研究表明，医务人员因穿着辐射防护围裙而存在骨科健康问题。本研究旨在评估肩部的重量压力，作为由不同辐射防护设备引起的身体劳损的标志物。
为了进行重量压力测量，使用了一个压力传感器（OMD-30-SE-100N，OptoForce，布达佩斯，匈牙利）放置在左肩部和右肩部。使用不同的辐射防护系统，力测量系统用于量化重量压力。测量在静止站立位置和各种运动期间进行。
与一件式和两件式辐射防护围裙和外套相比，使用自由悬挂的辐射防护系统时，肩部的重量压力平均显著降低了 74%至 84%（p<0.001）。使用两件式辐射防护围裙时，肩部的重量压力明显低于一件式辐射防护外套。如果在一件式辐射防护外套上使用腰带，则肩部的重量压力降低 32.5%（p=0.003）。对于两件式辐射防护围裙和一件式辐射防护外套（带或不带腰带），可以测量到右肩和左肩之间明显不同的重量压力分布。
与其他辐射防护设备相比，自由悬挂的辐射防护系统显示出明显更低的重量压力。除此之外，使用两件式辐射防护围裙或在辐射防护外套上增加腰带被证明是进一步有效降低重量压力的选择。
