摘要
目的了解上海市X射线影像诊断成年受检者防护用品使用现状,为开展受检者医疗照射防护工作提供依据。方法在全市分层随机抽取了18家三级医院、36家二级医院、56家一级医院,采取现场方便抽样方法对2933名受检者进行了问卷调查。采用卡方检验、多因素logistic回归分析等方法进行统计分析。结果上海市X射线影像诊断成年受检者放射防护用品使用率为52.7%,主要使用的防护用品类型为铅橡胶围裙(45.5%)和铅橡胶颈套(30.3%)。调查发现二级医院防护用品使用率(62.5%)高于三级医院(54.4%)和一级医院(35.9%),且差异均有统计学意义(P<0.05),而X-CT扫描检查和常规X射线摄影检查受检者防护用品使用率差别无统计学意义(P>0.05)。结论上海市X射线影像诊断成年受检者放射防护用品使用率依然有较大提升空间,应加强社区和放射诊疗机构的放射卫生防护知识的宣教力度,提高受检者在接受检查时的自我辐射防护意识,促进放射工作人员主动落实受检者放射卫生防护的相关要求。
Objective To acquaintance the using status of radiation protective appliance in diagnostic X - ray examinations among adults in Shanghai, and provide guidance for further efforts of medical radiation protection for the public. Methods A total of 2933 examinees from 18 tertiary hospitals, 36 secondary hospitals and 56 first - class hospitals in Shanghai were select- ed by the convenient sampling method, and they were asked to complete the questionnaire survey in the help of the investiga- tors. The ehi square test and logistic regression analysis were used for statistical analysis. Results The utilization rate of radi- ation protective appliance in diagnostic X - ray examinations among the adults in Shanghai was 52.7%. The main type of pro- tective appliance was the lead apron (45. 5% ) and lead collar (30. 3% ). The utilization rate in secondary hospitals ( 62.5% ) was higher than that in tertiary hospitals (54.4%) or primary hospitals ( 35.9% ) , and the differences were statis- tically significant ( P 〈 0.05), while there was no significant difference in the utilization rate of protective appliance between the X - CT scans and the conventional X - ray examinations ( P 〉 0.05 ). Conclusion The utilization rate of radiation protec- tive appliance in diagnostic X - ray image examinations among adults in Shanghai still has a large room for improvement. The radiation protection propaganda and education in the community and hospitals should be strengthened to improve the self con- sciousness of the patients, and to promote the initiative of radiation workers to implement radiation health protection require- ments of the examinees.
作者
肖虹
郭常义
高林峰
姚杰
王彬
钱爱君
XIAO Hong;GUO Changyi;GAO Linfeng;YAO Jie;WANG Bin;QIAN Aijun(Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336 China)
出处
《中国辐射卫生》
2018年第3期240-245,共6页
Chinese Journal of Radiological Health
关键词
X射线影像诊断
受检者防护用品
影响因素
Diagnostic X-ray Examinations
Radiation Protective Appliance
Influeneing Factors