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为保障医用X射线诊断工作人员的职业健康和安全,全面评价医用X射线诊断工作人员健康状况。对兴化市46家医疗卫生单位所有从事医用X射线诊断工作的148名工作人员进行职业健康调查,并结合放射防护监测和个人剂量检测结果进行分析。结果显示,自觉症状主要以神经衰弱综合征为主,皮肤损害发生率为52.7%,眼晶状体混浊发生率为18.2%,接触放射线工龄越长,眼晶状体的改变越重,发生率也越高;血象检查异常检出率为22.3%,心电图检查异常检出率为25.7%,B超检查异常体征检出率为39.9%,与1998年检查结果进行对比,眼晶状体检查、血象检查异常检出率有所下降,差异有统计学意义(P<0.01)。提示,医用X射线诊断的职业危害仍然存在,监管部门要切实加强放射防护的监管工作,开展经常性和预防性监督工作,控制职业危害。
To ensure the occupational health and safety of medical X-ray diagnostic staff, a comprehensive evaluation of medical X-ray diagnosis of staff health. A total of 148 staff working in medical X-ray diagnosis of 46 medical and health units in Xinghua City were surveyed for occupational health, and the results of radiation protection monitoring and individual dose testing were analyzed. The results showed that the main symptoms were neurasthenic syndrome, the incidence of skin lesions was 52.7%, the incidence of ocular lens opacities was 18.2%, longer exposure to radiation, the more severe changes in the lens, the higher the incidence; The detection rate of abnormalities of blood examination was 22.3%, abnormal detection rate of electrocardiogram was 25.7%, abnormal detection rate of B-ultrasound was 39.9%. Compared with the results of 1998, The difference was statistically significant (P <0.01). Tip, occupational hazards of medical X-ray diagnosis still exist, the regulatory authorities should effectively strengthen the supervision of radiation protection, carry out regular and preventive supervision, control of occupational hazards.