陈俐枫, 朱宗铭. 常熟市2018年放射工作人员健康状况调查[J]. 职业卫生与应急救援, 2020, 38(1): 47-50, 85. DOI: 10.16369/j.oher.issn.1007-1326.2020.01.011
引用本文: 陈俐枫, 朱宗铭. 常熟市2018年放射工作人员健康状况调查[J]. 职业卫生与应急救援, 2020, 38(1): 47-50, 85. DOI: 10.16369/j.oher.issn.1007-1326.2020.01.011
CHEN Lifeng, ZHU Zongming. Survey on health status of radiation workers in Changshu in 2018[J]. Occupational Health and Emergency Rescue, 2020, 38(1): 47-50, 85. DOI: 10.16369/j.oher.issn.1007-1326.2020.01.011
Citation: CHEN Lifeng, ZHU Zongming. Survey on health status of radiation workers in Changshu in 2018[J]. Occupational Health and Emergency Rescue, 2020, 38(1): 47-50, 85. DOI: 10.16369/j.oher.issn.1007-1326.2020.01.011

常熟市2018年放射工作人员健康状况调查

Survey on health status of radiation workers in Changshu in 2018

  • 摘要:
    目的 通过对常熟市放射工作人员职业健康检查结果的分析,了解其一般健康状况。
    方法 取常熟市2018年接受职业健康检查的放射工作人员共481人为调查对象,对比常熟市2010年至2017年既往数据和2018年部分健康体检人员体检数据。
    结果 481名放射工作人员中,医务工作者377人(占78.38%),企业劳动者104人(占21.62%,其中90%以上为金属加工行业工业探伤岗位);年龄最小19岁,最大76岁,平均年龄(37.30±10.51)岁;接害工龄最少1个月,最大48年,平均工龄(10.39±10.28)年。2018年个人剂量最大0.167 mSv,平均(0.053±0.022)mSv,处于历年较低水平。白细胞计数减少8例,中性粒细胞计数减少9例,血小板计数减少5例,晶状体浑浊42例,染色体异常10例。眼晶状体浑浊检出率逐年升高(P < 0.01),其他各项主要体检数据异常率逐年降低(P < 0.01)。2018年放射工作人员白细胞计数减少检出率低于对照组(P < 0.05);白细胞、血小板均值高于对照组(P < 0.05)。
    结论 常熟市放射工作人员电离辐射总体接触水平较低,但也应注意眼晶状体的保护。

     

    Abstract:
    Objective To understand the general health status of radiation workers by analysis of their data of occupational health examination in Changshu City.
    Methods A total of 481 radiation workers who received occupational health examination in Changshu City in 2018 were included and the data of some workers were compared with the previous data during 2010 to 2017 if there was.
    Results Among the 481 radiation workers, 377 (78.38%)were medical workers, 104 (21.62%) were enterprise workers (more than 90% of them were metal processing industry, industrial flaw detection posts). The age ranged from 19 to 76, and the average age was (37.30±10.51) years old. The exposure time varied from 1 month to 48 years with average of (10.39±10.28) years. The maximum annual individual dose was 0.167 mSv, and the average annual individual dose was (0.053±0.022) mSv, which was the lowest in the past years. Eight workers with leucopenia, 9 workers with neutropenia, 5 workers with thrombocytopenia, 42 workers with lens opacity and 10 workers with chromosomal abnormalities were found. Compared with the previous data, lens opacification increased gradually (P < 0.01), and the abnormal rate of others decreased (P < 0.01). Compared with the data of reference population, the mean value of leukocytes and platelets of these workers was higher and the occurrence of leukopenia was lower (P < 0.05).
    Conclusion The overall exposure level of ionizing radiation of radiation workers in Changshu City was relatively low, but protection of lens should be paid more attention to.

     

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