兰州市488名放射工作人员健康监护结果分析

Health monitoring analysis of 488 radiation workers in Lanzhou City

目的了解兰州市职业照射对放射工作人员健康状况的影响,为更好的做好健康监护工作提供参考依据。方法采用SPSS 18. 0软件建立2016年兰州市辖区放射工作人员体检资料数据库,并分析不同性别、工龄、工种和单位级别的放射工作人员血常规指标、眼晶状体等指标异常情况。结果 2016年兰州市共体检488名放射工作人员,性别、工龄和单位级别间的红细胞、白细胞、血小板及血红蛋白异常率差别无统计意义(P> 0. 05),不同放射工种白细胞异常率差异有统计学意义(P <0. 05)。肝功能异常率男性高于女性(P <0. 05),工龄、单位级别和工种组间的肝功能异常率无统计学意义(P> 0. 05)。不同工龄间血压异常率差别有统计学意义(P <0. 05)。性别、工龄、工种和单位级别间心电图异常率差别无统计意义(P> 0. 05)。不同工龄间眼晶状体异常率差别有统计学意义(P <0. 05),性别、工种和单位级别间心电图异常率的差别无统计意义(P> 0. 05)。结论放射工作人员长期低剂量职业照射后,对外周血细胞、血压和眼晶体有一定的影晌,应进一步加强放射防护。

Objective The aim of this study is to understand the effects of occupational exposure on health of radiation workers in lanzhou city,and to provide reference for health monitoring. Methods We collected the medical data of radiation workers in 2016 and analyzed different gender,age,type of work,routine blood,eye lens by SPSS 18. 0 software. Results There had 488 physical examination worker in lanzhou city in 2016. There was no statistically significant difference between gender,length of service,unit level and the abnormal rate of red blood cells,white blood cells,platelets,hemoglobin( P > 0. 05).There were statistically significant differences in the abnormal rate of leukocyte in different radiographs( P < 0. 05). The abnormal rate of liver function in man worker was higher than that of women( P < 0. 05),and there was no statistically significant difference in the abnormal rate of liver function between working age,unit level and work group. There was statistical significance for the difference of abnormal blood pressure between different working ages( P < 0. 05). There was no statistical significance between gender,working age,work type,unit level and electrocardiogram( P > 0. 05). There was statistical significance for the difference of intraocular lens abnormalities in different working ages( P < 0. 05). There was no statistical significance in the difference of electrocardiogram between sex,work type and unit level( P > 0. 05). Conclusion After long-term low-dose occupational exposure to radiation,workers had a certain influence on peripheral blood cells,blood pressure and eye crystals. There is a need protection measured for radiation workers.