介入诊疗医务人员正确使用辐射防护用具的证据总结

Summary of the evidence concerning the correct use of radiation protective equipment in interventional medical staff

目的 筛选、评估和总结介入诊疗医务人员使用辐射防护用具的最佳证据。方法 计算机检索PubMed、Embase、Web of Science、The Cochrane Library、National Guideline Clearinghouse、中国医脉通指南网、中国知网、万方、维普、中国生物医学文献数据库等数据库中自建库至2020年12月关于介入诊疗医务人员如何正确使用辐射防护用具的系统评价、原始研究、专家共识及指南文献,同时追溯纳入文献的参考文献。由2名研究人员评价纳入文献的质量,并从纳入文献中提取证据。结果 共纳入16篇文献,包括随机对照试验研究2篇,类试验研究9篇,队列研究1篇,观察性研究1篇,专家共识3篇。最终总结出10条最佳证据。结论 总结了介入诊疗医务人员使用辐射防护用具的证据,为避免介入诊疗医务人员盲目选择辐射防护用具、减少辐射暴露提供了依据。

Objective To screen, evaluate and summarize the best available evidences concerning the correct use of radiation protective equipment in interventional medical staff. Methods Computer retrieval of Pub Med, Embase, Web of Science, Cochrane Library, National Guideline Clearinghouse(NGC), China Mailong Medical Guide Network, CNKI, Wan Fang Data, VIP, CBM and other databases was conducted to collect the eligible clinical research documents on the systematic evaluation, original study, expert consensus, and guidelines concerning the correct use of radiation protective equipment in interventional medical staff. The retrieval time period was from the establishment of data bases to December 2020. The references that were included in the enrolled articles were traced. Two independent researchers strictly evaluated the quality of the enrolled articles and extracted the valuable evidences. Results A total of 16 articles were enrolled in this analysis, including 2 randomized controlled trials, 9 simulation experimental studies, one cohort study, one observational study,and 3 expert consensus. Finally, 10 best evidences were summarized. Conclusion This study summarizes the evidences concerning the correct use of radiation protective equipment in interventional medical staff, which provides a basis for avoiding the blind choice of radiation protective equipment by medical staff and reducing radiation exposure.(J Intervent Radiol, 2022,31: 724-727)