2016年度福建省医疗照射频度调查与分析
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摘要
目的通过对福建省的37家样本医院进行放射诊疗情况调查,研究福建省放射诊疗的基本情况,估算全省各类放射诊疗项目的照射频度。方法采用全国统一的调查表,通过医院信息管理系统或手工登记本搜集样本医院的门急诊量、住院量、放射诊疗设备和放射工作人员的基本情况,以及各类诊疗项目的受检者性别、年龄、检查类型、检查部位等分布信息,并对调查结果进行统计分析。结果 37家医院各类放射诊疗项目合计照射人次4 496 833,基于该调查结果估算的福建省各类诊疗项目照射频度分别为X射线影像诊断459.1人次/千人口、介入放射学1.8人次/千人口、核医学2.4人次/千人口、放射治疗0.50例/千人口。结论通过本次调查能够掌握福建省医疗照射频度的大体情况,可为我省放射诊疗技术的应用以及医疗照射防护安全提供许多的启发。
Objective Through the investigation of radiological diagnosis and treatment performed in the 37 sampled hospitals to estimate the application frequency of radiological diagnosis and treatment in Fujian.Methods Adopting the nationwide unified questionnaire, collect the information on the amount of outpatient and emergency patients, in-patients, radiological diagnosis and treatment equipment, radiological workers in the sampled hospitals through the hospital information system or the manually registering notebooks. The information of examinees were further counted by sex, age, diagnostic or treatment types and irradiation positions.Results The total number of medical radiation exposure in the 37 hospitals was 4 496 833 persons time. For per 1 000 population, the frequency of X-ray diagnosis, interventional radiology, nuclear medicine and radiotherapy were 459.1, 1.8, 2.4 and 0.50.Conclusion The general situation about the frequency of medical exposure in Fujian has been grasped throughout the investigation, and the results can provide many useful suggestions for both rational uses of radiological techniques and the protection and safety of medical radiation exposure.
Objective Through the investigation of radiological diagnosis and treatment performed in the 37 sampled hospitals to estimate the application frequency of radiological diagnosis and treatment in Fujian.Methods Adopting the nationwide unified questionnaire, collect the information on the amount of outpatient and emergency patients, in-patients, radiological diagnosis and treatment equipment, radiological workers in the sampled hospitals through the hospital information system or the manually registering notebooks. The information of examinees were further counted by sex, age, diagnostic or treatment types and irradiation positions.Results The total number of medical radiation exposure in the 37 hospitals was 4 496 833 persons time. For per 1 000 population, the frequency of X-ray diagnosis, interventional radiology, nuclear medicine and radiotherapy were 459.1, 1.8, 2.4 and 0.50.Conclusion The general situation about the frequency of medical exposure in Fujian has been grasped throughout the investigation, and the results can provide many useful suggestions for both rational uses of radiological techniques and the protection and safety of medical radiation exposure.
引文
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[13] 姚杰,郑钧正,高林峰,等.上海市介入放射学应用现状的调查研究[J].辐射防护,2014,34(5):281-287.
[14] 孙彦玲,卢桂才,李鸿成,等.宁夏地区医疗照射频率水平调查分析[J].中华放射医学与防护杂志,2016,36(10):757-760,779.
[15] 余宁乐,杨小勇 ,张乙眉,等.江苏省介入放射学应用现状研究[J].中国辐射卫生,2007,16(4):450-452.
[16] 尹俊清,史立波,齐林,等.河北省临床核医学医疗照射水平调查[J].中华放射医学与防护杂志,2000,(S1):96.
[17] 陈少平,张伟道,杜宏涛,等.辽宁省临床核医学的医疗照射调查初析[J].中华放射医学与防护杂志,2000,(S1):90-91.
[18] 高林峰,钱爱君,郑钧正,等.上海市2008年临床核医学的医疗照射水平分析[J].环境与职业医学,2009,26(6):541-544.
[19] 郑钧正,李述唐,岳保荣,等.我国“九五”期间放射治疗的医疗照射频率水平[J].中华放射医学与防护杂志,2001(S1):29-31.
[20] 尹俊清,段杏丽,焦振虎,等.河北省放射治疗应用频率调查与分析[J].中国辐射卫生,2015,24(5):503-504,507.
[2] United Nations Scientific Committee on the Effects of Atomic Radiation.Sources and effects of ionizing radiation.UNSCEAR 2000 report to the General Assembly,with scientific annexes.v.1:Sources.-v.2:Effects[R].Vienna:UNSCEAR ,2000.
[3] 郑钧正.“九五”期间全国医疗照射水平调查研究[J].医学研究通讯,2003,32(11):18-19.
[4] United Nations Scientific Committee on the Effects of Atomic Radiation.UNSCEAR 2008 report to the Sources and effects of ionizing radiation radiation[R].New York:United Nations,2010.
[5] 杜翔,王进.江苏省 2015 年度放射诊断医疗照射频度调查与分析[J].中华放射医学与防护杂志,2017,37(10):771-776.
[6] 福建省人民政府办公厅.福建省医疗卫生服务体系规划[R],2017.
[7] 国家卫生和计划生育委员会.中国卫生和计划生育年鉴[M],北京:中国卫生和计划生育年鉴社,2017.
[8] 福建统计局.福建统计年鉴-2017[M].北京:中国统计出版社,2017.
[9] 李朝晖,祖庆,张远浩,等.南平市医疗照射频率调查分析[J].中国辐射卫生,2016,25(2):198-200.
[10] 郑钧正,高林峰,卓维海,等.上海市放射诊疗发展趋势与医疗照射防护研究[J].辐射防护,2014,34(5):265-273,280.
[11] ICRP.Managing patient dose in computed tomography [M].ICRP Publication 87.Oxford:Pergamon Press,2001.
[12] 郑钧正,岳保荣,李述唐,等.我国“九五”期间X 射线诊断的医疗照射频率水平[J].中华放射医学与防护杂志,2000,(S1):14-18.
[13] 姚杰,郑钧正,高林峰,等.上海市介入放射学应用现状的调查研究[J].辐射防护,2014,34(5):281-287.
[14] 孙彦玲,卢桂才,李鸿成,等.宁夏地区医疗照射频率水平调查分析[J].中华放射医学与防护杂志,2016,36(10):757-760,779.
[15] 余宁乐,杨小勇 ,张乙眉,等.江苏省介入放射学应用现状研究[J].中国辐射卫生,2007,16(4):450-452.
[16] 尹俊清,史立波,齐林,等.河北省临床核医学医疗照射水平调查[J].中华放射医学与防护杂志,2000,(S1):96.
[17] 陈少平,张伟道,杜宏涛,等.辽宁省临床核医学的医疗照射调查初析[J].中华放射医学与防护杂志,2000,(S1):90-91.
[18] 高林峰,钱爱君,郑钧正,等.上海市2008年临床核医学的医疗照射水平分析[J].环境与职业医学,2009,26(6):541-544.
[19] 郑钧正,李述唐,岳保荣,等.我国“九五”期间放射治疗的医疗照射频率水平[J].中华放射医学与防护杂志,2001(S1):29-31.
[20] 尹俊清,段杏丽,焦振虎,等.河北省放射治疗应用频率调查与分析[J].中国辐射卫生,2015,24(5):503-504,507.