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[目的]了解接触医用X线工作人员的健康状况,保障放射工作人员的健康与安全。[方法]2008年1~3月,对龙岩市市级各医疗机构在职X线诊疗工作人员(放射组)进行职业健康体检,并与非X线诊疗工作人员(对照)比较。[结果]调查放射组175人、对照组185人。头昏、头痛、乏力、失眠、健忘罹患率,接触组分别为30.86%、28.0%、19.45%,对照组分别为10.27%、12.97%、8.65%(P<0.01);脱发、晶体混浊罹患率,放射组分别为10.29%、36.57%,对照组分别为3.78%、25.95%(P<0.05);外周血象白细胞、血小板减少、嗜中性粒细胞增多罹患率,放射组分别为3.43%、2.29%、8.00%,对照组分别为1.08%、0.54%、3.24%(P<0.05)。外周血象异常罹患率,放射组工龄<10年者为23.17%,工龄≥10年者为16.13%(P>0.05)。[结论]长期从事医用X射线的工作人员多种疾患的罹患率较高。
[Objective] To understand the health status of workers exposed to medical X-ray and to ensure the health and safety of radiation workers. [Methods] From January to March, 2008, occupational health examination was conducted on the in-service X-ray clinic staff (radiation group) of various medical institutions in Longyan city and compared with the non-X-ray clinic staff (control). [Results] 175 patients in the radiological group and 185 in the control group were investigated. The incidence of dizziness, headache, fatigue, insomnia and forgetfulness were 30.86%, 28.0% and 19.45% respectively in the exposure group and 10.27%, 12.97% and 8.65% in the control group (P <0.01) And 10.29% in radiotherapy group and 36.57% in radiotherapy group respectively, with 3.78% in control group and 25.95% in control group (P <0.05). The incidence of leukopenia, thrombocytopenia and neutrophilia in peripheral blood were 3.43% and 2.29 % And 8.00% in control group and 1.08%, 0.54% and 3.24% in control group respectively (P <0.05). The incidence of abnormal peripheral blood was 23.17% in the 10-year working group and 16.13% in the 10-year working group (P> 0.05). [Conclusion] There is a high incidence of various diseases in staff who have long been engaged in medical X-ray.