廊坊市放射工作人员眼晶体损伤状况
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摘要
目的了解放射工作人员眼晶体损伤状况,为放射防护工作提供技术依据。方法对廊坊市1365名放射工作人员眼晶体进行检查,对结果进行统计分析。结果 1365名放射工作人员中,眼晶体混浊100人,混浊率7.3%;随工龄增长,放射工作人员眼晶体混浊率有增长趋势(χ~2=192.954,P<0.05);医学诊断学、牙科治疗、介入治疗、同位素应用、工业探伤专业的放射工作人员眼晶体混浊率分别为8.7%、1.1%、2.0%、2.5%、8.7%,差别有统计意义(χ~2=15.702,P<0.05);市级医院、县级医院、乡镇医院及其它医疗单位、工业探伤企业的放射工作人员眼晶体混浊率分别为4.0%、5.7%、10.7%、8.7%,差别有统计意义(χ~2=15.728,P<0.05)。结论长期低剂量的职业照射会对放射工作人员眼晶体造成一定损伤,应以乡镇医院及其它医疗单位、从事工业探伤的企业为重点,加强放射防护工作。
Objective To understand the status of eye lens damage in radiologic workers in Langfang and provide technical basis for radiological protection. Methods To carry on eye lens examination for 1365 radiologic workers in Langfang,then made statistical analysis on the result. Results 100 out of 1365 radiologic workers be detected as eye lens opacity,the ratio of opacity attach to 7. 3%. The ratio of eye lens opacity of radiologic workers presented a increasing trend with the growth of length of service( χ~2= 192. 954,P < 0. 05). The ratio of eye lens opacity of radiologic workers engaging in medical diagnosis,dental treatment,interventional therapy,isotope application,industrial inspection respectively was 8. 7% 、1. 1% 、2. 0% 、2. 5% 、8. 7%. The difference was statistically significant( χ~2= 15. 702,P < 0. 05). The ratio of eye lens opacity of radiologic workers in municipal hospital,county hospital,health clinics in towns and other medical therapy institution respectively was 4. 0% 、5. 7% 、10. 7% 、8. 7%. The difference was statistically significant( χ~2= 15. 728.,P < 0. 05). Conclusion Long term low dose occupational exposure will cause some damage to eye lens of radiologic workers. Radiological protection should be enhanced and health clinics in towns and other medical therapy institution and enterprises having to do with industrial inspection work should be regarded as important institution in radiation protection.
Objective To understand the status of eye lens damage in radiologic workers in Langfang and provide technical basis for radiological protection. Methods To carry on eye lens examination for 1365 radiologic workers in Langfang,then made statistical analysis on the result. Results 100 out of 1365 radiologic workers be detected as eye lens opacity,the ratio of opacity attach to 7. 3%. The ratio of eye lens opacity of radiologic workers presented a increasing trend with the growth of length of service( χ~2= 192. 954,P < 0. 05). The ratio of eye lens opacity of radiologic workers engaging in medical diagnosis,dental treatment,interventional therapy,isotope application,industrial inspection respectively was 8. 7% 、1. 1% 、2. 0% 、2. 5% 、8. 7%. The difference was statistically significant( χ~2= 15. 702,P < 0. 05). The ratio of eye lens opacity of radiologic workers in municipal hospital,county hospital,health clinics in towns and other medical therapy institution respectively was 4. 0% 、5. 7% 、10. 7% 、8. 7%. The difference was statistically significant( χ~2= 15. 728.,P < 0. 05). Conclusion Long term low dose occupational exposure will cause some damage to eye lens of radiologic workers. Radiological protection should be enhanced and health clinics in towns and other medical therapy institution and enterprises having to do with industrial inspection work should be regarded as important institution in radiation protection.
引文
[1]王焱,孙全富.低剂量电离辐射照射与白内障危险关系流行病学研究进展[J].中国预防医学杂志,2012,13(1):74-78.
[2]姜晶,孔婷,黄波,等.低剂量电离辐射对放射工作人员眼晶状体影响的Meta分析[J].中华放射医学与防护杂志,2013,33(6):640-644.
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[5]刘荣华.长期低剂量X射线照射对眼晶状体影响的观察[J].中国职业医学,2004,31(4):47-48.
[6]梁梅,朱林平,葛宪民.广西医疗放射人员眼晶体混浊的形成学调查[J].中国工业医学杂志,2010,23(4):288-289.
[7]张代斌.重庆市放射工作人员317名眼晶体状况分析[J].调查研究,2010,17(2):122-123.
[8]熊成育,马宏宏.2010年西宁市279名放射工作人员眼晶体调查分析[J].中国辐射卫生,2011,20(4):435-436.
[9]周媛媛,王进,余宁乐,等.江苏省2642名放射工作人员眼晶状体健康状况调查与分析[J].江苏预防医学,2016,27(3):295-296.
[10]刘树舒.放射生物学[M].北京:原子能出版社,1998:347-348.
[11]刘仁文,谢向阳,李秀兰,等.X射线工作人员健康状况分析[J].实用预防医学,2008,15(3):772-773.
[12]杨文草,高晓玲,唐颖.上海市144名医用X射线工作人员10年健康动态观察[J].环境与职业医学,2011,28(4):232-234.
[13]王燚,王俊成.临沂市放射工作人员眼晶体混浊状况调查分析[J].职业与健康,2013,28(24):3067-3068.
[14]乔建维.513例放射工作人员眼晶体情况调查分析[J].中国中西医结合影像学杂志,2013,11(2):224-225.
[15]程晓军,田崇彬,楚彩芳,等.河南省2003-2007年放射诊疗工作人员个人剂量水平调查[J].中国辐射卫生,2009,18(3):3.
[2]姜晶,孔婷,黄波,等.低剂量电离辐射对放射工作人员眼晶状体影响的Meta分析[J].中华放射医学与防护杂志,2013,33(6):640-644.
[3]谯俊华,杨芳茂,张光,等.低剂量辐射对晶体损伤的调查分析[J].眼外伤职业眼病杂志,1996,18(1):21-22.
[4]杨非,刘竹,王蒙杰,等.低剂量电离辐射对眼晶体损伤的影响分析[J].中国辐射卫生,2015,24(3):202-204.
[5]刘荣华.长期低剂量X射线照射对眼晶状体影响的观察[J].中国职业医学,2004,31(4):47-48.
[6]梁梅,朱林平,葛宪民.广西医疗放射人员眼晶体混浊的形成学调查[J].中国工业医学杂志,2010,23(4):288-289.
[7]张代斌.重庆市放射工作人员317名眼晶体状况分析[J].调查研究,2010,17(2):122-123.
[8]熊成育,马宏宏.2010年西宁市279名放射工作人员眼晶体调查分析[J].中国辐射卫生,2011,20(4):435-436.
[9]周媛媛,王进,余宁乐,等.江苏省2642名放射工作人员眼晶状体健康状况调查与分析[J].江苏预防医学,2016,27(3):295-296.
[10]刘树舒.放射生物学[M].北京:原子能出版社,1998:347-348.
[11]刘仁文,谢向阳,李秀兰,等.X射线工作人员健康状况分析[J].实用预防医学,2008,15(3):772-773.
[12]杨文草,高晓玲,唐颖.上海市144名医用X射线工作人员10年健康动态观察[J].环境与职业医学,2011,28(4):232-234.
[13]王燚,王俊成.临沂市放射工作人员眼晶体混浊状况调查分析[J].职业与健康,2013,28(24):3067-3068.
[14]乔建维.513例放射工作人员眼晶体情况调查分析[J].中国中西医结合影像学杂志,2013,11(2):224-225.
[15]程晓军,田崇彬,楚彩芳,等.河南省2003-2007年放射诊疗工作人员个人剂量水平调查[J].中国辐射卫生,2009,18(3):3.