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目的探讨甲状腺游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、促甲状腺激素(TSH)检查在医学放射工作人员职业健康检查中的应用价值。方法对北京市某三级甲等综合医院153名医学放射工作人员进行甲状腺功能检查;并对被调查人员进行个体年受照射剂量检测。结果医学放射工作人员个体受照射剂量在0.14~6.07 mSv/a;女性的FT3、FT4均低于男性,而TSH均高于男性;随着工龄的增加,非传统与传统医用辐射科室FT3、FT4检查结果的增减趋势相反。结论甲状腺FT3、FT4、TSH检查是一项有效、易于操作的检查,应将其列为医学放射工作人员职业健康检查中常规必检项目。
Objective To investigate the value of thyroid free triiodothyronine (FT3), free thyroxine (FT4) and thyroid stimulating hormone (TSH) in the occupational health examination of medical radiation workers. Methods Thirteen medical radiology workers at a tertiary level general hospital in Beijing were examined for thyroid function. Individuals under investigation were tested for their annual exposure dose. Results The radiation doses of medical radiation workers ranged from 0.14 to 6.07 mSv / a. FT3 and FT4 in women were lower than those in men and TSH were higher than those in men. With the increase of seniority, FT3 and FT4 Check the results of the trend of the contrary. Conclusion The thyroid FT3, FT4 and TSH tests are an effective and easy-to-operate test, which should be listed as a routine mandatory test in the occupational health examination of medical radiation workers.