上海市“十一五”期间X射线诊断的应用频率及其分布研究

辐射防护 ›› 2014, Vol. 34 ›› Issue (5): 274-280.

上海市“十一五”期间X射线诊断的应用频率及其分布研究

高林峰¹, 郑钧正^1,2, 卓维海², 姚杰¹, 王彬¹, 钱爱君¹, 季贵毅¹, 肖虹¹

1.上海市疾病预防控制中心,上海 200336;
2.复旦大学放射医学研究所,上海 200032

收稿日期:2013-04-24 出版日期:2014-09-20 发布日期:2025-01-06
通讯作者: 郑钧正。E-mail:zhengjunzheng@sina.com
作者简介:高林峰(1975—),男,1999年毕业于原苏州医学院放射医学专业,2004年获复旦大学放射医学博士学位,主任医师。E-mail:lfgao@scdc.sh.cn
基金资助:
国家自然科学基金资助项目(批准号10675036);上海市放射卫生重点学科建设项目(08GWZX0602);卫生行业科研专项(201002009);上海市公共卫生人才培养计划(GWDTR201208);上海市卫生局科研项目(2007177)。

Application Frequency and Distribution of Medical Exposure from Diagnostic X-ray Procedures during 2006—2010 in Shanghai

Gao Linfeng¹, Zheng Junzheng^1,2, Zhuo Weihai², Yao Jie¹, Wang Bin¹, Qian Aijun¹, Ji Guiyi¹, Xiao Hong¹

1. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336;
2. Institute of Radiation Medicine, Fudan University, Shanghai 200032

Received:2013-04-24 Online:2014-09-20 Published:2025-01-06

摘要/Abstract

摘要： 全面调查研究上海市开展X射线诊断的基本现状,并分别统计各种X射线诊断按照主要检查类型、受检者性别与年龄组分布的人次数,得出X射线诊断的医疗照射应用频率及其各类分布。截至2010年底,上海市拥有医疗卫生机构3 270家,其中开展X射线诊断业务的占39.11％。全市每千人口拥有执业(含助理)医师已达2.2人。“十一五”期间,数字摄影设备(DR)、计算机摄影设备(CR)、乳腺X射线摄影机、数字减影血管造影设备(DSA)分别以年均21.3%、13.5%、11.2%、10%的速度增长,普通X射线机却以年均8.1%的速度减少。2007年和2009年两年按人口加权的X射线诊断医疗照射应用年频率为763.23人次/千人口。以胸部检查、X-CT扫描检查、四肢及关节摄影等类型检查居多;头颅摄影、钡灌肠、骨盆及髋部摄影频率显著降低;而脊柱摄影、胆囊造影、躯干X-CT扫描检查和牙科全景摄影频率显著增加。0～15岁年龄组以胸部摄影居多,占56.66%;16～40岁年龄组胸部摄影和胸部透视分别各占22.54%和26.43%;大于40岁年龄组以胸部摄影和X-CT检查为主,分别各占32.19%和17.09%。显然,上海市“十一五”期间的X射线诊断应用频率已经达到历史新高,切实采取有力措施加强医疗照射防护是当前十分突出的重要公共卫生问题。

关键词: “十一五”期间, X射线诊断, 医疗照射, 应用频率, 分布

Abstract: Through a comprehensive investigation on basic situations of diagnostic X-ray procedures in Shanghai, the types of diagnostic X-ray procedures and the gender and age of examinees were counted, and the application frequency and its distributions were calculated. At the end of 2010, there were 3 270 medical and health institutions in Shanghai, and 39.11% of them engaged in diagnostic X-ray examinations. The practicing physicians including assistants accounted 2.2 persons for per thousand population in the city. During the Eleventh Five-Year Plan period, the equipment numbers of digital radiography (DR), computed radiography (CR), mammography and digital subtraction angiography (DSA) increased by annual averages of 21.3%, 13.5%, 11.2% and 10.0% respectively. On the other hand, the equipment number of conventional X-ray machine reduced by an annual average of 8.1% during the same period. The annual application frequency of diagnostic X-ray procedures was averaged to be 763.23 person·time for per 1 000 population in 2007 and 2009. Among the procedures, the chest photography, X-CT scans, limbs and joints photography were the mostly performed. The frequencies of skull radiography, bariumenema, pelvis and hips photography reduced significantly, while the frequencies of spine photography, cholecystography, torso X-CT scans and panoramic dental radiography increased significantly. Among different groups of examinees, 56.66% of the group under 15-year old took the chest radiography,22.54% and 26.43% of the group between 16-and 40-year old took the chest radiography and chest fluoroscopy, and 32.19% and 17.09% of the group older than 40-year old took the chest radiography and X-CT scans, respectively. Obviously, the application frequency of medical diagnostic X-ray procedures in Shanghai during the Eleventh Five-Year Plan period has reached a record high, and taking effective measures to strengthen the radiation protection from medical exposureis currently a very important public health issue.

Key words: the Eleventh Five-Year Plan period, diagnostic X-ray procedures, medical exposure, application frequency, distribution

中图分类号:

R144

高林峰, 郑钧正, 卓维海, 姚杰, 王彬, 钱爱君, 季贵毅, 肖虹. 上海市“十一五”期间X射线诊断的应用频率及其分布研究[J]. 辐射防护, 2014, 34(5): 274-280.

Gao Linfeng, Zheng Junzheng, Zhuo Weihai, Yao Jie, Wang Bin, Qian Aijun, Ji Guiyi, Xiao Hong. Application Frequency and Distribution of Medical Exposure from Diagnostic X-ray Procedures during 2006—2010 in Shanghai[J]. RADIATION PROTECTION, 2014, 34(5): 274-280.

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