2016-2017年成都市放射工作人员职业健康检查结果分析
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摘要
目的了解成都市放射工作人员健康状况,加强对从业人员的医学监督。方法对2016-2017年在成都市疾病预防控制中心进行职业健康检查的放射工作人员的血常规、尿常规、肝功生化检查结果进行统计分析。结果2016-2017年在成都市疾病预防控制中心进行职业健康检查的放射组人员共计2 287人,其中男性1 473人、女性814人;对照组2 019人,其中男性1 657人、女性362人。两组间红细胞(RBC)、血小板(PLT)、尿白细胞、尿蛋白、血尿、丙氨酸氨基转移酶(ALT)、γ-谷氨酰基转移酶(γ-GGT)和总胆红素(TBIL)异常率差异有统计学意义(χ~2=3. 959、22. 741、26. 952、4. 954、10. 739、35. 400、16. 185、17. 416,P <0. 05),白细胞(WBC)、血红蛋白(Hb)异常率差异无统计学意义(χ~2=1. 842、1. 665,P> 0. 05)。放射组结果异常主要集中于18～29岁组和50～59岁组,各年龄组Hb、尿白细胞、ALT异常率差异有统计学意义(χ~2=13. 652、11. 778、18. 172,P <0. 05),WBC、RBC、PLT、尿蛋白、血尿、γ-GGT、TBIL异常率差异无统计学意义(χ~2=3. 703、3. 354、6. 546、1. 319、2. 342、4. 636、1. 124,P> 0. 05)。放射组男性和女性相比,RBC、尿白细胞、血尿、ALT、γ-GGT、TBIL异常率差异有统计学意义(χ~2=26. 521、70. 359、41. 287、85. 685、81. 971、7. 998,P <0. 05),WBC、Hb、PLT、尿蛋白异常率差异无统计学意义(χ~2=1. 091、1. 313、3. 523、0. 032,P> 0. 05)。放射人员各工龄组ALT、γ-GGT异常率差异有统计学意义(χ~2=47. 832、10. 776,P <0. 05),WBC、RBC、Hb、PLT、尿白细胞、尿蛋白、血尿、TBIL异常率差异无统计学意义(χ~2=1. 681、2. 222、0. 890、3. 102、0. 275、2. 849、2. 826、3. 350,P> 0. 05)。结论电离辐射对成都市放射工作人员的健康有一定不良影响,应加强放射防护,将辐射损伤降至最低。
Objective To understand the health status of radiation workers in Chengdu and strengthen the medical supervision of employees. Methods The results of blood routine test,urine routine test and liver function biochemical test of the radiation workers who underwent occupational health examination in Chengdu Center for Disease Control and Prevention from 2016 to 2017 were statistically analyzed. Results From 2016 to 2017,2 287 people in the radiation group,including 1 473 males and 814 females,and 2 019 in the control group,including 1 657 males and 362 females,underwent occupational health examinations in the Chengdu Center for Disease Control and Prevention. The abnormal rates of RBC,PLT,urinary leukocyte,urinary protein,hematuria,ALT,γ-GGT and TBIL were significantly different between the two groups( χ~2= 3. 959,22. 741,26. 952,4. 954,10. 739,35. 400,16. 185,17. 416,P < 0. 05). There was no significant difference in the abnormal rates of WBC and Hb between the two groups( χ~2= 1. 842,1. 665, P > 0. 05). The abnormal results in the radiation group were mainly concentrated in the 18 ～ 29 age group and 50 ～ 59 age group. The abnormal rates of Hb,urinary leukocytes and ALT in different age groups were significantly different( χ~2= 13. 652,11. 778,18. 172,P < 0. 05). There was no significant difference in abnormal rates of WBC,RBC,PLT,urinary protein,hematuria,γ-GGT and TBIL among different age groups( χ~2= 3. 703,3. 354,6. 546,1. 319,2. 342,4. 636,1. 124, P > 0. 05). The abnormal rates of RBC, urinary leukocytes, hematuria,ALT,gamma-GGT and TBIL were significantly different between male and female in radiation group( χ~2= 26. 521,70. 359,41. 287,85. 685,81. 971,7. 998,P < 0. 05). There was no significant difference in the abnormal rates of WBC,Hb,PLT and urine protein between male and female in radiation group( χ~2= 1. 091,1. 313,3. 523,0. 032,P > 0. 05). The abnormal rates of ALT and γ-GGT among different working age groups of radiation workers were statistically significant( χ~2= 47. 832,10. 776,P < 0. 05). There was no significant difference in the abnormal rates of WBC,RBC,Hb,PLT,urinary leukocyte,urinary protein,hematuria and TBIL among different working age groups of radiation workers( χ~2= 1. 681,2. 222,0. 890,3. 102,0. 275,2. 849,2. 826,3. 350,P > 0. 05). Conclusion Ionizing radiation has some adverse effects on the health of radiation workers in Chengdu. Radiological protection should be strengthened to minimize radiation damage.
Objective To understand the health status of radiation workers in Chengdu and strengthen the medical supervision of employees. Methods The results of blood routine test,urine routine test and liver function biochemical test of the radiation workers who underwent occupational health examination in Chengdu Center for Disease Control and Prevention from 2016 to 2017 were statistically analyzed. Results From 2016 to 2017,2 287 people in the radiation group,including 1 473 males and 814 females,and 2 019 in the control group,including 1 657 males and 362 females,underwent occupational health examinations in the Chengdu Center for Disease Control and Prevention. The abnormal rates of RBC,PLT,urinary leukocyte,urinary protein,hematuria,ALT,γ-GGT and TBIL were significantly different between the two groups( χ~2= 3. 959,22. 741,26. 952,4. 954,10. 739,35. 400,16. 185,17. 416,P < 0. 05). There was no significant difference in the abnormal rates of WBC and Hb between the two groups( χ~2= 1. 842,1. 665, P > 0. 05). The abnormal results in the radiation group were mainly concentrated in the 18 ～ 29 age group and 50 ～ 59 age group. The abnormal rates of Hb,urinary leukocytes and ALT in different age groups were significantly different( χ~2= 13. 652,11. 778,18. 172,P < 0. 05). There was no significant difference in abnormal rates of WBC,RBC,PLT,urinary protein,hematuria,γ-GGT and TBIL among different age groups( χ~2= 3. 703,3. 354,6. 546,1. 319,2. 342,4. 636,1. 124, P > 0. 05). The abnormal rates of RBC, urinary leukocytes, hematuria,ALT,gamma-GGT and TBIL were significantly different between male and female in radiation group( χ~2= 26. 521,70. 359,41. 287,85. 685,81. 971,7. 998,P < 0. 05). There was no significant difference in the abnormal rates of WBC,Hb,PLT and urine protein between male and female in radiation group( χ~2= 1. 091,1. 313,3. 523,0. 032,P > 0. 05). The abnormal rates of ALT and γ-GGT among different working age groups of radiation workers were statistically significant( χ~2= 47. 832,10. 776,P < 0. 05). There was no significant difference in the abnormal rates of WBC,RBC,Hb,PLT,urinary leukocyte,urinary protein,hematuria and TBIL among different working age groups of radiation workers( χ~2= 1. 681,2. 222,0. 890,3. 102,0. 275,2. 849,2. 826,3. 350,P > 0. 05). Conclusion Ionizing radiation has some adverse effects on the health of radiation workers in Chengdu. Radiological protection should be strengthened to minimize radiation damage.
引文
[1]中华人民共和国卫生部.放射工作人员职业健康管理办法[Z].2007-06-03.
[2]国家卫生和计划生育委员会.职业健康检查管理办法[Z].2015-04-20.
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[4]李静远,吴连梅,叶阳飞.南平市2016年医疗放射工作人员血常规分析[J].海峡预防医学杂志,2017,23(6):76-77.
[5]沙磊,谭维维.南通市2014年放射工作人员健康监护结果分析[J].中国辐射卫生,2017,26(1):44-48.
[6]刘秋英,张爱华,李其锋,等.广东省放射工作人员外周血细胞资料分析[J].中国工业医学杂志,2016,29(6):447-448.
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[9]张驰,龚守良,孟涛,等.低剂量电离辐射对糖尿病小鼠肾功能及形态学的影响[J].吉林大学学报(医学版),2010,36(3):434-438.
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[11]杨非,涂程,陈超,等.成都市放射从业人员低剂量电离辐射、BMI与丙氨酸氨基转移酶水平关系的横断面研究[J].职业卫生与病伤,2016,31(6):369-373.
[12]季梅新.391名接触高危害因素职工肝功能调查分析[J].慢性病学杂志,2013,15(10):794-795.
[13]妥娅,赵永成.低剂量电离辐射对放射工作人员肝功能的影响[J].基础医学与临床,2017,37(12):1738-1740.
[14]李小琴,程金霞,孙兰芳,等.扬州市2015年放射工作人员健康体检结果分析[J].职业卫生与应急救援,2016,34(5):378-380.
[15]明小燕,李燕,李有军.宜昌市262名放射工作人员健康体检结果分析[J].中国工业医学杂志,2011,24(3):208-210.
[16]李晓玲,伏代刚,宋艳,等.广元市2015年医疗机构在岗放射工作人员健康状况分析[J].职业卫生与病伤,2017,32(5):297-301.
[17]陈剑雄,霍宝华.2012年肇庆市放射工作人员健康状况调查[J].中国辐射卫生,2013,22(3):318-320.
[18]贾颖,孙长颢,段淑梅.哈尔滨市2015年放射工作人员职业健康体检结果分析研究[J].当代临床医刊,2016,29(5):2472-2473.
[19]薛冬梅.某市医疗机构放射工作人员健康状况调查[J].中国卫生工程学,2015,14(6):547-548.
[20]李伟强,张兰华.某市975名医院放射诊疗工作人员健康状况分析[J].中国卫生标准管理,2017,8(12):4-6.
[21]杨平,刘军,赵生友,等.某油田放射工作人员健康状况调查[J].中国卫生工程学,2017,16(5):629-630.
[22]王强,朱波,杨陆婷,等.杭州市放射工作人员职业健康监护结果分析[J].工业卫生与职业病,2018,44(5):209-211.
[2]国家卫生和计划生育委员会.职业健康检查管理办法[Z].2015-04-20.
[3]郑建英,周志俊,朱梅,等.9970名放射工作人员职业健康检查资料分析[J].工业卫生与职业病,2016,42(2):138-139.
[4]李静远,吴连梅,叶阳飞.南平市2016年医疗放射工作人员血常规分析[J].海峡预防医学杂志,2017,23(6):76-77.
[5]沙磊,谭维维.南通市2014年放射工作人员健康监护结果分析[J].中国辐射卫生,2017,26(1):44-48.
[6]刘秋英,张爱华,李其锋,等.广东省放射工作人员外周血细胞资料分析[J].中国工业医学杂志,2016,29(6):447-448.
[7]朱桂盈.放射工作人员职业健康尿常规检验结果分析[J].当代医学,2014,21(22):74.
[8]ZINMAN LH,NGO M,NG ET,et al.Low-intensity laser therapy for painful symptom s of diabetic sensorimotor polyneuropathy:a controlled trial[J].Diabetes Care,2004,27(4):921-924.
[9]张驰,龚守良,孟涛,等.低剂量电离辐射对糖尿病小鼠肾功能及形态学的影响[J].吉林大学学报(医学版),2010,36(3):434-438.
[10]JO SK,SEOL MA,PARK HR,et al.Ionising radiation triggers fat accumulation in white adipose tissue[J].Int J Radiat Biol,2011,87(3):302-310.
[11]杨非,涂程,陈超,等.成都市放射从业人员低剂量电离辐射、BMI与丙氨酸氨基转移酶水平关系的横断面研究[J].职业卫生与病伤,2016,31(6):369-373.
[12]季梅新.391名接触高危害因素职工肝功能调查分析[J].慢性病学杂志,2013,15(10):794-795.
[13]妥娅,赵永成.低剂量电离辐射对放射工作人员肝功能的影响[J].基础医学与临床,2017,37(12):1738-1740.
[14]李小琴,程金霞,孙兰芳,等.扬州市2015年放射工作人员健康体检结果分析[J].职业卫生与应急救援,2016,34(5):378-380.
[15]明小燕,李燕,李有军.宜昌市262名放射工作人员健康体检结果分析[J].中国工业医学杂志,2011,24(3):208-210.
[16]李晓玲,伏代刚,宋艳,等.广元市2015年医疗机构在岗放射工作人员健康状况分析[J].职业卫生与病伤,2017,32(5):297-301.
[17]陈剑雄,霍宝华.2012年肇庆市放射工作人员健康状况调查[J].中国辐射卫生,2013,22(3):318-320.
[18]贾颖,孙长颢,段淑梅.哈尔滨市2015年放射工作人员职业健康体检结果分析研究[J].当代临床医刊,2016,29(5):2472-2473.
[19]薛冬梅.某市医疗机构放射工作人员健康状况调查[J].中国卫生工程学,2015,14(6):547-548.
[20]李伟强,张兰华.某市975名医院放射诊疗工作人员健康状况分析[J].中国卫生标准管理,2017,8(12):4-6.
[21]杨平,刘军,赵生友,等.某油田放射工作人员健康状况调查[J].中国卫生工程学,2017,16(5):629-630.
[22]王强,朱波,杨陆婷,等.杭州市放射工作人员职业健康监护结果分析[J].工业卫生与职业病,2018,44(5):209-211.