辐射防护通讯 ›› 2021, Vol. 41 ›› Issue (4): 2-8.

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8省1系统实施常见职业性放射性疾病诊断标准的调查

李旭光, 卢志娟, 郝建秀, 赵欣然, 王晓光, 翟贺争, 江波, 邢志伟, 姜恩海   

  1. 中国医学科学院放射医学研究所,天津,300192
  • 收稿日期:2021-05-26 出版日期:2021-08-20 发布日期:2022-03-04
  • 通讯作者: 邢志伟,E-mail:xingzhiwei@irm-cams.ac.cn
  • 作者简介:李旭光(1983—),男,2009年毕业于天津医科大学生物化学与分子生物学专业,硕士。主管技师。
  • 基金资助:
    国家卫生健康委法规司2020年度公共卫生标准追踪评价项目(项目编号:20202105)。

Implementation of Diagnostic Criteria for Common Occupational Radiation Diseases in Nuclear Sector and Some Provinces in China

Li Xuguang, Lu Zhijuan, Hao Jianxiu, Zhao Xinran, Wang Xiaoguang, Zhai Hezheng, Jiang Bo, Xing Zhiwei, Jiang Enhai   

  1. Institute of Radiation Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College,Tianjin 300192
  • Received:2021-05-26 Online:2021-08-20 Published:2022-03-04

摘要: 为评估常见放射性疾病诊断标准在职业性放射性疾病诊断医师、放射工作人员、放射卫生监督人员中的贯彻落实情况,了解诊断标准技术性内容及实施过程中存在的问题,采用调查问卷方式,抽调四川、江苏、内蒙、山东、河南、天津、安徽、浙江8省(市、自治区)和核工业系统进行调研,调查问卷分为A、B、C卷,分别对应职业性放射性疾病诊断医师、放射工作人员、放射卫生监督人员。调查结果表明:(1)A卷140人次,B卷2 815人次,C卷310人次,标准掌握及知晓率由高到低依次为职业性放射性疾病诊断医师、放射卫生监督人员、放射工作人员;(2)设定五项标准的综合评分满分为100,职业性放射性白内障的诊断、职业性外照射急性放射病诊断、职业性外照射慢性放射病诊断、职业性放射性皮肤损伤诊断和职业性放射性肿瘤判断规范5项标准的满意评分分别为68.8、74.8、73.5、74.1和72.4。调查结果认为,8省1系统实施五项职业性放射性疾病诊断标准情况较好。

关键词: 职业性放射性疾病, 标准, 评估, 问卷调查

Abstract: To evaluate the implementation of common diagnostic criteria for radiation diseases among diagnostic physicians, radiation workers and radiation health supervisors, to understand the scientificity, practicability of these criteria and the problems existing in the implementation process, a questionnaire survey was conducted in nuclear industry and selected provincial regions including Sichuan, Jiangsu, Inner Mongolia, Shandong, Henan, Tianjin, Anhui, Zhejiang. Our questionnaires were divided into volume A, B and C, corresponding to physicians, workers and supervisors respectively. The results showed that:(1) the recovery for A, B and C is 140, 2 815 and 310 respectively;the mastery and awareness rate from high to low are of physicians, supervisors and workers;(2) with the quantitative score of the criterion technical content set to 100, we get 93.1, 92.8, 85.5, 88.7, 87 respectively for the diagnosis of occupational radiation skin diseases, external exposure acute radiation disease,external exposure chronic radiation diseases, radiation tumour and cataract.

Key words: Occupational radiation disease, Criteria, Evaluation, Questionnaire survey

中图分类号: 

  • R148