退休放射工作人员健康调查与医学随访分析

Post-retirement health survey and medical follow-up analysis of retired radiology workers

目的为了探讨我们研究所退休放射工作人员的健康状况,并对其中受到较大剂量照射的人员进行医学随访。方法对中国医学科学院放射医学研究所(以下简称放射所)138名退休放射工作人员体质进行健康调查与分析,并对接受过较大剂量5名人员按GBZ/T163建议的方法进行了医学随访分析。结果接受过较大剂量5名人员辐射相关的肿瘤患病率明显高于其他退休人员,接受过较大剂量人员与其他离退放射工作人员比较,在造血系统、免疫系统、内分泌系统、生殖系统和眼科检查等诸多方面的情况基本一致。结论接受过较大剂量放射工作人员除肿瘤患病率明显高于其他退休人员外,其他健康体检情况基本一致。但健康体检中部分人员指标异常仍存在,需要建立健康档案数据库进行管理。接受过较大剂量5名人员离开岗位后,未发现辐射的远期效应。

Objective In order to explore the health status of the retired radiation workers in our institute,medical followup was performed on those who received large doses of radiation.Methods A health survey and analysis on the physical fitness of 138 retired workers of the Institute of Radiation Medicine of the Chinese Academy of Medical Sciences(hereinafter referred to as the Institute of Radiology)was conducted,and the medical follow-up analysis of the large dose of 5 people according to the recommendations of GBZ/T163 was carried out.Results The prevalence of radiation-related tumors was significantly higher in the five who received higher doses than in other retirees,and the patients who received higher doses than other retired radiation workers had basically the same coditions in the hematopoietic system,Immune System,endocrine system,reproductive system,and eye exams.Conclusions The incidence rate of tumor in the workers who received high dose radiation was obviously higher than that of other retirees,and other health check-ups were basically the same.