|
|
|
| Analysis of occupational health examination data of 215 radiation workers from hospitals in Jiayuguan, China |
| WANG Caihuan1, LIU Jun2 |
1. Jiayuguan Center for Disease Prevention and Control, Jiayuguan 735100 China;
2. Jiayuguan Maternal and Child Health Care Hospital, Jiayuguan 735100 China |
|
|
|
|
Abstract Objective To understand the effects of long-term exposure to ionizing radiation on the health of radiation workers. Methods A total of 215 radiation workers were randomly selected and assigned to the exposure group and 197 non-radiation workers were assigned to the control group. The occupational health examination results of the two groups were compared and analyzed. Results The WBC count of the exposure group was lower than that of the control group (P＜0.05), while the abnormality rates of ocular lens, ECG, liver function, and thyroid function were significantly higher in the exposure group than in the control group (P＜0.05). In the exposure group, the abnormality rate of liver function was lower in females than in males, and the abnormality rate of hemoglobin level was higher in females than in males (P＜0.01). The abnormality rate of ocular lens increased with age (P＜0.01). The abnormality rate of hemoglobin level was different among different age groups (P＜0.01). The abnormality rate of ocular lens increased with increasing years of service. The abnormality rates of RBC count and hemoglobin level in the general radiotherapy group were higher than those in the interventional radiotherapy group (P＜0.01). Sex was the influencing factor for abnormal liver function (P＜0.01). Conclusion Prolonged exposure to low doses of ionizing radiation can adversely affect the health of radiation workers in medical institutions.
|
|
Received: 12 September 2023
|
|
|
|
|
|
[1] 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. DOI: 10.13491/j.cnki.issn.1004-714X.2017.01.018
Sha L, Tan WW. Analysis of the results of radiation staff health monitoring in Nantong City in 2014[J]. Chin J Radiol Health, 2017, 26(1): 44-48. DOI: 10.13491/j.cnki.issn.1004-714X.2017.01.018
[2] 赵锡鹏, 刘晓惠, 刘建香, 等. 全国放射工作人员2015年职业健康监测结果分析[J]. 中国职业医学,2017,44(4):473-477. DOI: 10.11763/j.issn.2095-2619.2017.04.016
Zhao XP, Liu XH, Liu JX, et al. Analysis on occupational health surveillance results of national radiation workers in 2015[J]. China Occup Med, 2017, 44(4): 473-477. DOI: 10.11763/j.issn.2095-2619.2017.04.016
[3] 龚力, 孙爱娟, 何谦, 等. 低剂量电离辐射效应及其对我国放射作业人员血液指标影响研究进展[J]. 中国职业医学,2018,45(1):115-118. DOI: 10.11763/j.issn.2095-2619.2018.01.025
Gong L, Sun AJ, He Q, et al. Effect of low dose ionizing radiation on blood indices of radiation workers in China[J]. China Occup Med, 2018, 45(1): 115-118. DOI: 10.11763/j.issn.2095-2619.2018.01.025
[4] 杨雪莹, 王大宇, 曾强. 2020年天津市部分医疗机构放射工作人员岗中职业健康检查结果及影响因素分析[J]. 职业与健康,2023,39(7):870-874. DOI: 10.13329/j.cnki.zyyjk.2023.0148
Yang XY, Wang DY, Zeng Q. Analysis on results of on-the-job occupational health examination and its influencing factors among radiation workers in some medical institutions in Tianjin in 2020[J]. Occup Health, 2023, 39(7): 870-874. DOI: 10.13329/j.cnki.zyyjk.2023.0148
[5] 张有忠, 赵永峰, 马娅, 等. 德州市放射工作人员职业健康检查结果分析[J]. 中国辐射卫生,2023,32(3):298-302. DOI: 10.13491/j.issn.1004-714X.2023.03.015
Zhang YZ, Zhao YF, Ma Y, et al. Analysis of occupational health examination results of radiation workers in Dezhou, China[J]. Chin J Radiol Health, 2023, 32(3): 298-302. DOI: 10.13491/j.issn.1004-714X.2023.03.015
[6] 杨勇文, 杨爱初, 刘庆凤, 等. 广东省790名医院放射工作人员职业健康资料分析[J]. 中国职业医学,2018,45(6):793-796. DOI: 10.11763/j.issn.2095-2619.2018.06.029
Yang YW, Yang AC, Liu QF, et al. Occupational health examination data of 790 radiation workers from hospitals of Guangdong Province[J]. China Occup Med, 2018, 45(6): 793-796. DOI: 10.11763/j.issn.2095-2619.2018.06.029
[7] Menon S, Mathew R, Kumar M. Ocular radiation exposure during endoscopic retrograde cholangiopancreatography: a meta-analysis of studies[J]. Eur J Gastroenterol Hepatol, 2019, 31(4): 463-470. DOI: 10.1097/MEG.0000000000001341
[8] 高宇, 赵凤玲, 王平, 等. 低剂量电离辐射职业接触人群的健康效应研究进展[J]. 国际放射医学核医学杂志,2020,44(8):534-540. DOI: 10.3760/cma.j.cn121381-201904013-00050
Gao Y, Zhao FL, Wang P, et al. Research progress in the health effects of radiation workers induced by low-dose ionizing radiation[J]. Int J Radiat Med Nucl Med, 2020, 44(8): 534-540. DOI: 10.3760/cma.j.cn121381-201904013-00050
[9] 付丽丽, 单铁梅, 段潇潇, 等. 2016—2017年辽宁省363例放射工作人员职业健康检查结果[J]. 职业与健康,2018,34(20):2765-2767. DOI: 10.13329/j.cnki.zyyjk.2018.0736
Fu LL, Shan TM, Duan XX, et al. Results of occupational health examination of 363 radiation workers in Liaoning Province from 2016-2017[J]. Occup Health, 2018, 34(20): 2765-2767. DOI: 10.13329/j.cnki.zyyjk.2018.0736
[10] 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
Li JY, Wu LM, Ye YF. Blood analysis of medical radiology staff in Nanping, 2016[J]. Strait J Prev Med, 2017, 23(6): 76-77
[11] 张显鹏. 电离辐射对放射工作人员造血系统的影响[D].泰山医学院, 2010. DOI: 10.7666/d.y1556902.
Zhang XP. Effect of ionizing radiation on hematopoietic system[D]. Taishan Medical University, 2010. DOI: 10.7666/d.y1556902.
[12] 吴旭梅,钱庆增,曹向可,等. 电离辐射对放射工作人员血象的影响[J]. 中国煤炭工业医学杂志,2013,16(10):1669-1672. DOI: 10.11723/mtgyyx1007-9564.201310041
Wu XM, Qian QZ, Cao XK, et al. Effect of ionizing radiation on hemogram of radiologic workers[J]. Chin J Coal Ind Med, 2013, 16(10): 1669-1672. DOI: 10.11723/mtgyyx1007-9564.201310041
[13] 陈威. 1386例放射工作人员晶状体的状况分析[J]. 微创医学,2018,13(6):803-805
Chen W. Analysis of the condition of the lens in 1386 cases of radiation workers[J]. J Minim Invas Med, 2018, 13(6): 803-805
[14] 桑军阳, 谭维维, 钟恩德, 等. 2009-2017年南通市某三甲综合医院介入放射工作人员个人剂量和工作场所监测结果分析[J]. 中国辐射卫生,2019,28(3):309-312. DOI: 10.13491/j.issn.1004-714X.2019.03.025
Sang JY, Tan WW, Zhong ED, et al. Analysis on individual doses and site testing of interventional radiology in a third-grade class-A hospital in Nantong City, 2009-2017[J]. Chin J Radiol Health, 2019, 28(3): 309-312. DOI: 10.13491/j.issn.1004-714X.2019.03.025
[15] 邵玉仙, 钟皓成, 诸贤含, 等. 杭州市医疗放射工作人员电离辐射致眼晶体损伤的职业健康状况调查[J]. 现代实用医学,2022,34(4):483-485. DOI: 10.3969/j.issn.1671-0800.2022.04.023
Shao YX, Zhong HC, Zhu XH, et al. Occupational health status survey of ionizing radiation-induced ocular lens damage among medical radiation workers in Hangzhou City, China[J]. Mod Pract Med, 2022, 34(4): 483-485. DOI: 10.3969/j.issn.1671-0800.2022.04.023
[16] 黄强, 黄锐, 张姗姗, 等. 2019年重庆市介入放射工作人员职业健康检查异常结果分析[J]. 职业与健康,2021,37(16):2274-2277. DOI: 10.13329/j.cnki.zyyjk.2021.0555
Huang Q, Huang R, Zhang SS, et al. Analysis on abnormal results of occupational health examination for interventional radiology workers in Chongqing in 2019[J]. Occup Health, 2021, 37(16): 2274-2277. DOI: 10.13329/j.cnki.zyyjk.2021.0555
[17] 张晶, 陈新, 王曼. 2019—2021河南省部分医疗机构放射工作人员心电图及甲状腺功能检查结果分析[J]. 疾病预防控制通报,2023,38(2):37-39,53. DOI: 10.13215/j.cnki.jbyfkztb.2209001
Zhang J, Chen X, Wang M. Analysis of results of ECG and thyroid function examination among radiation staff in some medical institutions in Henan province from 2019 to 2021[J]. Bull Dis Control Prev, 2023, 38(2): 37-39,53. DOI: 10.13215/j.cnki.jbyfkztb.2209001
[18] 马奎, 王静, 郑剑南, 等. 武汉市2021年放射工作人员职业健康检查结果分析[J]. 辐射防护通讯,2022,42(4/5):7-11. DOI: 10.3969/j.issn.1004-6356.2022.04.003
Ma K, Wang J, Zheng JN, et al. Analysis of occupational health examination results of radiation workers in Wuhan in 2021[J]. Radiat Prot Bull, 2022, 42(4/5): 7-11. DOI: 10.3969/j.issn.1004-6356.2022.04.003
[19] 朱丹, 朱昆蓉, 陈超, 等. 2016-2017年成都市放射工作人员职业健康检查结果分析[J]. 医学动物防制,2019,35(8):758-762. DOI: 10.7629/yxdwfz201908012
Zhu D, Zhu KR, Chen C, et al. Analysis of occupational health examination results of radiation workers in Chengdu from 2016 to 2017[J]. J Med Pest Control, 2019, 35(8): 758-762. DOI: 10.7629/yxdwfz201908012
[20] 蒋丽, 施安琪, 时正贤. 2015-2019年南通市放射工作人员健康状况分析[J]. 职业卫生与病伤,2021,36(6):333-339
Jiang L, Shi AQ, Shi ZX. Analysis on health status of radiological workers in Nantong City from 2015 to 2019[J]. Occup Health Damage, 2021, 36(6): 333-339
[21] 陈秋蓉, 李俊伟, 林应声. 漳州市医疗卫生机构放射工作人员健康体检结果分析[J]. 职业卫生与病伤,2021,36(1):1-4,11
Chen QR, Li JW, Lin YS. The investigation of physical health of medical workers occupationally exposed to radiation in Zhangzhou from 2017 to 2019[J]. Occup Health Damage, 2021, 36(1): 1-4,11
[22] 王静, 郑剑南, 梅丹, 等. 武汉市2017—2021年度放射工作人员职业健康状况分析[J]. 辐射防护通讯,2022,42(4/5):12-17. DOI: 10.3969/j.issn.1004-6356.2022.04.004
Wang J, Zheng JN, Mei D, et al. Analysis of occupational health status of radiation workers in Wuhan in 2017-2021[J]. Radiat Prot Bull, 2022, 42(4/5): 12-17. DOI: 10.3969/j.issn.1004-6356.2022.04.004
|
|
|
|
