Yang Y, Wang Q, Yu A Q, Bian Y F
Department of Occupational Health and Radiological Health, Hangzhou Hospital for Prevention and Treatment of Occupational Diseases, Hangzhou 310014, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Jul 20;40(7):523-526. doi: 10.3760/cma.j.cn121094-20210413-00210.
To understand the lens condition of radiation workers in a city, explore the factors affecting lens opacity, and provide basis for strengthening the radiation protection management of radiation workers. In December 2020, according to the national radiation health monitoring project, the occupational health examination data of radiation workers in an occupational health examination institution in a city from December 2018 to November 2020 were collected, including the basic information of radiation workers and ophthalmic examination results. The lens conditions of radiation workers in different subgroups were analyzed, and the influencing factors of lens opacity were analyzed by multifactor logistic regression. A total of 4452 radiation workers were included, of which 439 (9.9%) had lens opacity. The lens opacity rate of male radiation workers was higher than that of female radiation workers (<0.05) . With the increase of age and length of service, the lens abnormalities of radiation workers increased ((s)=0.269, 0.212, <0.01) . The lens opacity rate of radiation workers engaged in nuclear medicine was high (12.7%, 9/71) . The rate of lens opacity in off-the-job medical examination radiation workers was high (18.3%, 26/142) . By multivariate logistic regression analysis, the risk of lens opacification in the age ≤30-year-old group and the >30-<50-year-old group were 0.087 times (95%: 0.058-0.132) and 0.076 times (95%: 0.054-0.107) that in the age ≥50-year-old group, respectively. The risk of lens opacification in the age ≤10-year-old group, >10-<20-year-old group and 20-30-year-old group were 0.293 (95%: 0.189-0.456) , 0.413 (95%: 0.256-0.666) and 0.318 (95%: 0.204-0.497) times, respectively. The lens opacity rate of radiation workers is related to age and working age.Attention should be paid to high-age and long-term radiation workers to ensure their health.
为了解某城市放射工作人员的晶状体状况，探讨影响晶状体混浊的因素，为加强放射工作人员的辐射防护管理提供依据。2020年12月，依据国家辐射健康监测项目，收集了某城市一家职业健康检查机构2018年12月至2020年11月放射工作人员的职业健康检查数据，包括放射工作人员的基本信息及眼科检查结果。分析不同亚组放射工作人员的晶状体状况，采用多因素logistic回归分析晶状体混浊的影响因素。共纳入4452名放射工作人员，其中439人（9.9%）有晶状体混浊。男性放射工作人员的晶状体混浊率高于女性放射工作人员（<0.05）。随着年龄和工龄的增加，放射工作人员的晶状体异常增多（（s）=0.269，0.212，<0.01）。从事核医学的放射工作人员晶状体混浊率较高（12.7%，9/71）。离岗医学检查放射工作人员的晶状体混浊率较高（18.3%，26/142）。经多因素logistic回归分析，年龄≤30岁组和>30～<50岁组晶状体混浊的风险分别是年龄≥50岁组的0.087倍（95%：0.058～0.132）和0.076倍（95%：0.054～0.107）。工龄≤10年组、>10～<20年组和20～30年组晶状体混浊的风险分别为0.293（95%：0.189～0.456）、0.413（95%：0.256～0.666）和0.318（95%：0.204～0.497）倍。放射工作人员的晶状体混浊率与年龄和工龄有关。应关注高龄及长期从事放射工作的人员，保障其健康。
