四川省心血管介入应用及放射防护现状调查研究

辐射防护 ›› 2019, Vol. 39 ›› Issue (3): 234-241.

四川省心血管介入应用及放射防护现状调查研究

杨玉娟¹, 林志敏², 许文丽¹, 王琼², 何志民², 兰亚佳¹, 王永伟^1,3

1.四川大学华西公共卫生学院/四川大学华西第四医院;成都 610041;
2.四川省卫生和计划生育监督执法总队;成都 610041;
3.四川省职业卫生应急(重点)实验室,成都 610041

收稿日期:2018-11-17 出版日期:2019-05-15 发布日期:2019-10-29
通讯作者: 王永伟。E-mail:wangyw_1980@sina.com
作者简介:杨玉娟(1994—),女,2017年毕业于青海大学预防医学专业,现为四川大学华西公共卫生学院环境卫生与职业医学系公共卫生专业硕士研究生。E-mail:2568411952@qq.com

Cardiovascular interventional application and radiation protectionin Sichuan Province:A cross-sectional survey

YANG Yujuan¹, LIN Zhimin², XU Wenli¹, WANG Qiong², HE Zhimin², LAN Yajia¹, WANG Yongwei^1,3*

1. West China School of Public Health and West China Fourth Hospital, Sichuan University,Chengdu 610041;
2. Inspection and Law Enforcement Corps of Health and Family Planning of Sichuan Province,Chengdu 610041;
3. Occupational Health Emergency (Grade A) key Laboratory), Chengdu 610041

Received:2018-11-17 Online:2019-05-15 Published:2019-10-29

摘要/Abstract

摘要： 对2015年四川省开展的心血管介入放射学情况进行了调查,内容包括开展该业务的各级医院构成、医护人员基本情况、所用设备以及应用状况,放射防护知识知晓情况,放射防护用品配备和使用情况等。在调查心血管介入施行的手术类型后,将心介手术划分为5类,分别统计和计算相应的应用频率及有关分布,并进行个人剂量调查。2015年,四川省开展心血管介入放射学业务的医院有46 家(其中三级甲等医院占42家);拥有介入放射学设备65台。全省各医院共开展心血管介入诊疗69 968例,以冠状动脉介入为主,占67.2%,心介诊疗总应用频率为8.53人次/万人口。心血管介入工作人员放射防护知识知晓率为43.8%,自述未配备铅橡胶围裙、铅橡胶帽子、铅橡胶眼镜的心介工作人员分别达3.3%、20.5%和18.8%,铅橡胶帽子、铅橡胶眼镜和辅助防护设施的使用率分别为71.9%、63.2%和72.9%。2015年四川省铅衣内个人剂量均未超过国家规定的限值,但心介医疗机构均未按要求开展铅衣外和腕部个人剂量监测。四川省需努力落实放射防护用品的配备问题,完善个人剂量监测,提高心介医护人员放射防护知识知晓程度和防护用品使用情况。

关键词: 心血管介入, 职业照射, 防护, 问题, 对策

Abstract: In order to reveal the application of cardiovascular intervention and the current situation of radiation protection in Sichuan Province, and to explore the key points of supervision and the inadequacies of protection, an investigation was conducted in 2015. 46 hospitals and 484 staff of cardiovascular intervention in Sichuan Province were selected for questionnaires and on-site investigations to obtain basic information on cardiovascular intervention, including the composition of the hospital, the equipment, basic conditions of employees, knowledge of radiation protection, allocation and use of radiation protection products, as well as personal dose monitoring. In 2015, there were 46 hospitals engaged in cardiovascular interventional radiology (42 Grade 3A hospitals) and 65 interventional radiology devices were equipped in Sichuan Province. A total of 69,868 cases of cardiovascular interventional therapy were performed in hospitals across the province, with coronary interventions accounting for 67.2%, and the total application frequency of cardiovascular interventional was 8.53 person-times per 10 000 population. The awareness rate of radiation protection knowledge of cardiovascular intervention workers was 43.8%. The rate of self-report workers without lead rubber aprons, lead rubber hats and lead glasses were 3.3%, 20.5%, 18.8%, respectively. The usage rates of lead rubber aprons, lead rubber hats, lead glasses and auxiliary protective facilities were 71.9%, 63.2% and 72.9%. In 2015, the personal dose inside the lead clothes in Sichuan Province did not exceed the national limit, but the medical institutions did not carry out personal dose monitoring outside lead coat and wrist personal doses requested by regulations. Efforts should be made in Sichuan Province to allocate radiological protective equipment, to perfect the personal dose monitoring, and to improve the knowledge of radiation protection and the use of protective equipment for medical staff.

Key words: cardiovascular intervention, occupational exposure, protection, problem, countermeasures

中图分类号:

杨玉娟, 林志敏, 许文丽, 王琼, 何志民, 兰亚佳, 王永伟. 四川省心血管介入应用及放射防护现状调查研究[J]. 辐射防护, 2019, 39(3): 234-241.

YANG Yujuan, LIN Zhimin, XU Wenli, WANG Qiong, HE Zhimin, LAN Yajia, WANG Yongwei. Cardiovascular interventional application and radiation protectionin Sichuan Province:A cross-sectional survey[J]. RADIATION PROTECTION, 2019, 39(3): 234-241.

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