加强防护管理在健康体检者胸部X线检查中的应用分析

Application of Enhanced Protection Management in Chest X-ray Examination of Health Examinees

目的探究健康体检中应用优化安全措施的效果。方法将2017年1—8月我院放射科接收的411例体检者作为研究对象,所选研究对象均采取X线片检查,并对受检者采取优化安全措施,对其检查的情况进行分析讨论,探究优化安全措施实施的意义。结果 411例研究样本中,3例肺内结节,2例炎性病变,1例活动性肺结核,1例肺内肿块以及2例其他病变。年龄<30岁的受检者未检查出肺部肿块,但≥30岁的受检者病变阳性检出率呈递增趋势,对比差异有统计学意义(P<0.05);年龄低于40岁与不低于40岁的受检者阳性检出率对比差异存在统计学意义,P<0.05。防护管理加强后,未出现因X线检查引起的不良事件。结论肺部病变的阳性检出率与受检者年龄呈正相关,胸部X线检查在年龄超过30岁的群体中有确切的意义,优化安全措施后,可有效避免辐射危害。

Objective To explore the effect of optimized safety measures in health examination.Methods From January to August 2017 in our hospital radiology department received 411 cases of physical examination as the research object,the selected subjects were taken X-ray examination,and the subjects to take the optimization of safety measures,the examination of the situation for analysis and discussion,explore the significance of the implementation of the optimization of safety measures.Results Among the 411 study samples,3 cases of pulmonary nodules,2 inflammatory lesions,1 active pulmonary tuberculosis,1 case of lung tumor and 2 cases of other lesions.The subjects under 30 years of age did not check out the lung mass,but more than 30 years old subjects lesion positive rate showed an increasing trend.There was statistically significant difference（P〈0.05）; under the age of 40 and not less than 40 year old subjects positive rate comparison difference was statistically significant,P〈0.05.To strengthen the protection and management,no adverse events caused by X-ray examination.Conclusion The positive rate of lung lesions is positively correlated with the age of the subjects.Chest X-ray examination is of definite significance in the population over 30 years old,and after optimizing the safety measures,the radiation hazard can be effectively avoided.