上海市X射线影像诊断受检者个人防护用品配置与管理情况调查

A Survey on the Configuration and Management of Personal Protective Device in X-ray Imaging Diagnosis in Shanghai

目的调查上海市医疗机构受检者个人防护用品配置和管理情况,探讨存在的主要问题,提出规范要求。方法选取上海市六个区的545家医疗机构,采用现场查看、查阅原始资料、询问相关人员等方式对医疗机构X射线影像诊断机房的受检者个人防护用品配置情况和维护管理情况进行调查。结果医疗机构受检者个人防护用品的配置率为99.8%;配备的防护用品中防护帽配备率最高(76.9%),其次为防护围脖(64.8%)和全身防护裙(60.5%)。防护用品的产地97.0%为国产。防护用品的使用年限在5年以下的为52.7%。防护用品铅当量以0.35 mm Pb最常见,占80.1%;性腺防护裙铅当量0.5 mm Pb的占28.4%;可调式防护架铅当量0.5 mm Pb的占44.0%。防护用品定期清洁的单位占46.6%,定期消毒的占39.6%,防护用品悬挂或平铺方式存放的占71.7%。结论医疗机构个人防护用品的配置率高,但配置合理性还有欠缺,管理有待加强,建议制订相关规范予以指导。

Objective To investigate the configuration and management of personal protective device in X- ray imaging diagnosis and put for ward the normative requirements. Methods Field inspection and document check and personal interviews were conducted in 545 selected medical institutions in six districts in Shanghai to investigate the configuration and management of personal protective device in X- ray imaging diagnosis rooms. Results The configure rate of personal protective device is99. 8%. The configure rate of protective cap is the highest among the personal protective devices（ 76. 9%）,and then the protective collar（ 64. 8%） and protective gonad apron（ 60. 5%）. 97% of the protective devices are made in China. The service life of 52. 7% of protective devices is 5 years or low. The most common lead equivalent of protective devices is 0. 35 mm Pb,which accounted for 80. 1% of protective devices,and the lead equivalent of 28. 4% of the protective gonad apron reaches 0. 5mm Pb,and the lead equivalent of 44. 0% of the adjustable protective frames reaches 0. 5 mm P6; 46. 6% of the institutes clean the protective devices regularly and 39. 6% of the institutes disinfect the protective products regularly. 71. 7% of the institutes suspend or tile the protective devices. Conclusion The configure rate of personal protective device is high,but lack of rational allocation. Management needs to be improved when it comes to specific equipping and managing.