Abstract:

Objective　To understand the health status of the hospital's radiology staff and to provide valuable advices on health screening for radiology staff. Methods　A total of 254 health examination reports of in-service radiology staff in Hunan Cancer Hospital from January 2021 to December 2022 were collected, including 150 males and 104 females, aged (36.69±8.87) years. The abnormalities in different examination categories among radiation workers with different genders, years of service, job types, departments, and bad habits/medical history were analyzed. χ² test or Fisher exact probability method was used. Results　The abnormal rate of physical examination was 10.6% (27/254); the abnormal rate in males was higher than that in females (χ²=6.284, P<0.05); the abnormal rate increased with the increase of working age (χ²=15.985, P<0.001); the abnormal rate of radiation workers with multiple bad habits and medical history was higher than that of those without bad habits or history (χ²=18.062, P<0.001). The abnormal rate of ophthalmic examination was 9.8% (25/254). The abnormal rate of instrumental examination was 86.6% (220/254); the abnormal rate of 3 or more items in males was higher than that in females (χ²=13.226, P<0.05); the abnormal rate increased with the increase of working age (χ²=20.953, P<0.05). The abnormal rate of laboratory examination was 67.3% (171/254); the abnormal rate of 3 or more items in radiation workers with ≥20 years of service was higher than that with shorter years of service (χ²=16.539, P<0.05); the abnormal rate of 3 or more items in radiation workers with 3 bad habits and medical history was higher than that of other categories (χ²=27.022, P<0.001). There were no statistically significant differences in the abnormal rates of physical, ophthalmic, instrumental, and laboratory examinations among radiation workers with different job types or departments (P>0.05). Conclusion　Long-term exposure to ionising radiation has a definite impact on human health, and enhanced radiation protection and health monitoring can be accompanied by specific health screening advices for different categories of people.

Key words:

Radiation workers, Occupational health screening, Health status, Ionising radiation

摘要：

目的　了解放射工作人员健康状况，为放射工作人员提供有价值的健康检查建议。方法　回顾性收集湖南省肿瘤医院2021年1月至2022年12月的在岗放射工作人员健康检查报告254份，其中男150名、女104名，年龄（36.69±8.87）岁。分析不同性别、工龄、工种、部门和不良习惯/病史的放射工作人员在不同检查类别中的异常情况。采用χ²检验或Fisher确切概率法。结果　体格检查异常率为10.6%（27/254），其中男性异常率高于女性（χ²=6.284，P<0.05），随工龄增加异常率呈上升趋势（χ²=15.985，P<0.001），有多项不良习惯和病史的放射工作人员的异常率高于无不良习惯和病史者（χ²=18.062，P<0.001）；眼科检查中异常率为9.8%（25/254）；器械检查中异常率为86.6%（220/254），其中有3项及以上的异常率男性高于女性（χ²=13.226，P<0.05），且随工龄增加异常率呈上升趋势（χ²=20.953，P<0.05）；实验室检查中异常率为67.3%（171/254），其中工龄≥20年的3项及以上的异常率高于工龄短的（χ²=16.539，P<0.05），有3项不良习惯和病史的3项及以上异常率高于其他类别（χ²=27.022，P<0.001）。不同工种和不同部门的放射工作人员在体格检查、眼科检查、器械检查、实验室检查的异常率差异均无统计学意义（均P>0.05）。结论　长期从事电离辐射工作对人体健康有一定影响，在加强放射防护和健康监测的同时可针对不同类别的人群提供特定的健康检查建议。

关键词:

放射工作人员, 职业健康检查, 健康状况, 电离辐射