【摘要】 目的对某市6家医院放射诊疗工作人员的职业健康体检中腹部B超、心电图结果进行分析,为医疗机构和从事放射诊疗工作人员进一步做好职业健康监护工作提供科学依据。方法选择6家放射工作场所监测合格、放射防护用品使用符合国家标准、放射工作人员的年个人接触射线剂量在国家规定范围以下的医院,将其放射工作人员975人为调查对象,对其职业健康体检结果中的B超、心电图的结果进行分析。结果体检结果肝脏B异常检出率(33.9%),其中脂肪肝占92.5%;心电图异常占13.2%,其中窦性心律失常占检出人数的34.1%,心肌缺血占检出人数的31.0%。不同工龄组胆囊B超异常(χ~2=7.966,P=0.047)、心电图异常(χ~2=25.073,P=0.000)、心肌缺血(χ~2=11.558,P=0.009)、传导阻滞(χ~2=12.394,P=0.006)检出率差异有统计学意义,不同年龄组肝脏B超异常(χ~2=9.599,P=0.022)、脂肪肝(χ~2=7.878,P=0.049)、心电图异常(χ~2=21.983,P=0.000)、心肌缺血(χ~2=11.076,P=0.011)、传导阻滞(χ~2=18.578,P=0.000)检出率差异有统计学意义。结论从事医院放射诊疗工作人员的健康不容忽视,放射工作人员在做好放射防护工作的同时,更应注重各种慢病的预防。更多还原

【Abstract】 Objective To analyze The occupational health examination of radiographers in six hospitals of a city, and for medical institutions and personnel engaged in radiological diagnosis and treatment work will provide a scientific basis for further completes the work of occupational health surveillance. Methods 975 radiographers of medical institutions were selected who were qualified in the workplace monitoring and radiation protection according to the national standards as the objects of investigation, and conduct occupational health physical examination to the medical institutions, B ultrasonic and Electrocardiogram(ECG) of health examination results of the 975 radiographers were statistically analyzed. Results The highest detectable rate was liver function abnormality(33.9%), fatty liver accounted for 92.5%, the abnormal ECG was 13.2%, with sinus arrhythmia accounting for 34.1% of the total, and myocardial ischemia accounted for 31.0% of the total. Gallbladder ultrasound abnormalities(χ~2=7.966, P=0.047), abnormal ECG(χ~2=25.073, P=0.000), myocardial ischemia(χ~2=11.558, P=0.009), conduction block(χ~2=12.394, P=0.006) detection rate and length of service groups was statistically significant, Abnormal liver ultrasound(χ~2=9.599, P=0.022), fatty liver disease(χ~2=7.878, P =0.049), abnormal ECG(χ~2=21.983, P=0.000) and myocardial ischemia(χ~2=11.076, P=0.011), conduction block(χ~2=18.578, P=0.000) detection rate with different age groups was statistically significant. Conclusion Treatment workers Occupational health of personnel engaged in hospital radiation diagnosis and treatment should not be neglected. Radiation workers should pay attention to the prevention of all kinds of chronic diseases while doing a good job in radiation protection work.更多还原