天津市部分三甲医院放射工作人员甲状腺功能和甲状腺结节及职业相关性分析

辐射防护通讯 ›› 2024, Vol. 44 ›› Issue (6): 15-21.

天津市部分三甲医院放射工作人员甲状腺功能和甲状腺结节及职业相关性分析

穆博文, 黄磊, 王安冬, 赵士义, 王大宇

天津市职业病防治院健康监护管理中心,天津 300011

收稿日期:2024-08-12 出版日期:2024-12-20 发布日期:2025-01-16
通讯作者: 王大宇。E-mail:w8366266@126.com
作者简介:穆博文(1994—),男,2017年毕业于华北理工大学冀唐学院医学影像学专业,现从事的研究领域:职业健康监护、职业健康超声检查。E-mail:756415312@qq.com

Analysis of thyroid function, thyroid nodule prevalence, and their occupational correlation among radiological workers in selected first class hospitals in Tianjin

MU Bowen, HUANG Lei, WANG Andong, ZHAO Shiyi, WANG Dayu

Tianjin Occupational Disease Prevention and Therapeutic Hospital, Health Monitoring Management Center, Tianjin 300011

Received:2024-08-12 Online:2024-12-20 Published:2025-01-16

摘要/Abstract

摘要： 分析医院放射工作人员的甲状腺功能和甲状腺结节的检查情况,初步探讨其与放射因素的相关性,为放射防护管理提供依据。收集天津市部分三甲医院的放射工作人员职业健康检查结果,依据不同性别、不同岗位(以职业照射分类代码分类)和放射工龄分组,统计甲状腺功能检查结果和甲状腺彩超中甲状腺结节的检出情况,将非放射工作人员作为对照组进行对比分析。结果表明,观察组和对照组之间甲状腺结节阳性率无统计学意义,观察组甲状腺结节阳性率男女之间存在差异,介入放射学人员(2E)和核医学人员(2C)血清促甲状腺激素(TSH)含量与对照组比较存在显著差异(P<0.05和P<0.01),介入放射学人员(2E)的血清游离甲状腺素(FT₄)含量低于对照组(P<0.05);放射工龄21~40年甲状腺结节阳性率与对照组之间存在明显差异(P<0.05);放射工龄1~10年、21~30年与对照组之间TSH存在明显差异(P<0.05和P<0.01)。放射性工作人员的甲状腺结节可能与职业无关,观察组核医学(2C)、介入放射(2E)人员的TSH与对照组存在的差异,可能与性别和放射工龄相关,核医学人员TSH升高是否与放射性核素碘的接触有关,还需进一步确定。

关键词: 放射工作人员, 职业健康检查, 甲状腺功能, 甲状腺结节

Abstract: To investigate the thyroid function and thyroid nodule status among radiological workers in medical applications, and preliminary explore their correlation with radiological factors, with the aim to provide evidence for radiological protection management. Occupational health examination results of radiological workers from a first class hospital were collected. The participants were grouped based on gender, job positions (classified according to the Occupational Exposure Classification Codes), and years of radiological work experience. The thyroid function test results and thyroid nodule detection rates from thyroid ultrasonography were statistically analyzed. Non-radiological workers served as the control group for comparative analysis. There was no statistically significant difference in thyroid nodule positivity between the observation group and the control group. However, within the observation group, differences in thyroid nodule positivity were observed between males and females. Compared with the control group, TSH levels were different in interventional radiologists (2E) and nuclear medicine personnel (2C), with P<0.05 and P<0.01, respectively. FT₄ levels in interventional radiologists (2E) were lower than those in the control group, with P<0.05. The thyroid nodule positivity rate differed between the group with 21-40 years of radiological work experience and the control group, with P<0.05. TSH levels differed between the control group and those with 1-10 years and 21-30 years of radiological work experience, with P<0.05 and P<0.01, respectively. Thyroid nodules among radiological workers may not be occupationally related. Differences in TSH levels were observed between the control group and nuclear medicine (2C) and interventional radiology (2E) personnel in the observation group, which may be associated with gender and years of radiological work experience. Whether the elevation of TSH in nuclear medicine personnel is related to exposure to radionuclide iodine requires further investigation.

Key words: radiological workers, occupational health examination, thyroid function, thyroid nodule

中图分类号:

R148

穆博文, 黄磊, 王安冬, 赵士义, 王大宇. 天津市部分三甲医院放射工作人员甲状腺功能和甲状腺结节及职业相关性分析[J]. 辐射防护通讯, 2024, 44(6): 15-21.

MU Bowen, HUANG Lei, WANG Andong, ZHAO Shiyi, WANG Dayu. Analysis of thyroid function, thyroid nodule prevalence, and their occupational correlation among radiological workers in selected first class hospitals in Tianjin[J]. RADIATION PROTECTION BULLETIN, 2024, 44(6): 15-21.

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