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降低医疗X射线辐射暴露的建议(综述)

Recommendations for reducing exposure to medical X-ray irradiation (Review).

作者信息

Shi Hai-Min, Sun Zhi-Chao, Ju Fang-He

机构信息

Department of Gynecology and Obstetrics Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310006, P.R. China.

Department of Gynecology and Obstetrics Medicine, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang 310006, P.R. China.

出版信息

Med Int (Lond). 2022 Jul 12;2(4):22. doi: 10.3892/mi.2022.47. eCollection 2022 Jul-Aug.

Abstract

With the increasing frequency of X-ray examinations in clinical medicine, public concern regarding the harm caused by exposure to X-ray radiation is also increasing. However, some physicians are not completely aware of the dangers of exposure to X-ray irradiation. Individuals specialized in this field, including physicians, have a better understanding of these dangers, which limits the use of X-rays in medicine. The present study aimed to address strategies for reducing the harm caused by exposure to medical X-rays and increase public awareness regarding X-ray radiation. Through a literature search and review, combined with the current status of clinical X-ray examination and the authors' professional experience, the present study highlights the importance of reducing X-ray exposure, and proposes several specific recommendations and measures for reducing the frequency or dose of X-ray irradiation. On the whole, the finding discussed in the present review suggest the minimal use of medical X-ray examinations and that alternative tests should be selected whenever possible. When medical X-ray screening and treatments are necessary, the risk-benefit ratio should be assessed, possibly aiming to achieve avoidable exposure. Further attention should be paid to protect sensitive glands and reduce the risks in children.

摘要

随着临床医学中X射线检查频率的增加,公众对X射线辐射暴露所造成危害的关注也在增加。然而,一些医生并未完全意识到X射线照射的危险。包括医生在内的该领域专业人员对这些危险有更深入的了解,这限制了X射线在医学中的使用。本研究旨在探讨减少医用X射线暴露危害的策略,并提高公众对X射线辐射的认识。通过文献检索和综述,结合临床X射线检查的现状以及作者的专业经验,本研究强调了减少X射线暴露的重要性,并提出了一些减少X射线照射频率或剂量的具体建议和措施。总体而言,本综述中讨论的研究结果表明应尽量减少医用X射线检查,并且只要有可能就应选择替代检查。当必须进行医用X射线筛查和治疗时,应评估风险效益比,可能的目标是实现可避免的暴露。应进一步关注保护敏感腺体并降低儿童的风险。

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