辐射防护通讯 ›› 2024, Vol. 44 ›› Issue (6): 34-40.

• 经验交流 • 上一篇    下一篇

2020—2022年揭阳市部分医疗机构个人剂量监测异常数据分析

陈曦   

  1. 揭阳市疾病预防控制中心,广东 揭阳 522031
  • 收稿日期:2024-05-07 出版日期:2024-12-20 发布日期:2025-01-16
  • 作者简介:陈曦(1986—),女,2010年毕业于广东药学院预防医学专业,主管医师,主要从事放射卫生方向工作。E-mail:603724800@qq.com
  • 基金资助:
    揭阳市卫生健康局医学科学技术研究项目(揭市卫[2022]49号158)。

Analysis on abnormal dose values of individual dose monitoring for radiation workers in some medical institutions in Jieyang City from 2020 to 2022

CHEN Xi   

  1. Jieyang Center for Disease Control and prevention,Guangdong Jieyang 522031
  • Received:2024-05-07 Online:2024-12-20 Published:2025-01-16

摘要: 通过调查分析2020—2022年揭阳市疾病预防控制中心监测的部分医疗机构放射工作人员个人剂量数据中的异常情况,找出数据异常的原因,从放射工作人员、医疗机构、卫生行政管理监督三个方面提出相应措施,以减少个人剂量异常监测数据,降低放射工作人员受照的风险。收集2020—2022年揭阳市部分医疗机构个人剂量单个监测周期监测结果超过1.25 mSv的“职业性外照射个人监测剂量核查登记表”进行汇总,对出现异常监测数据的放射工作人员开展调查分析。结果表明,超过1.25 mSv共100人次,占三年总监测人次数1.27%。异常监测数据的人群中职业类别主要集中在放射诊断学(2A),占89.00%;异常数据主要集中在1.25~5 mSv这个区间,占76.00%;造成剂量数据异常原因前3位分别是个人剂量计曾经被留置于放射工作场所内(36.00%)、曾经佩戴个人剂量计扶持受检者接受放射性检查(20.00%)和佩戴期间工作量较前期明显增加(13.00%)。分析结果提示应加强放射工作人员防护意识和对个人剂量监测重要性的认识,医疗机构应完善放射卫生管理制度和宣传教育,加大卫生监督执法力度,减少个人剂量异常发生。

关键词: 个人剂量监测, 异常, 医疗机构

Abstract: To analyze abnormal dose values of individual dose monitoring for radiation workers in some medical institutions in Jieyang City from 2020 to 2022, and to provide recommendations from three aspects, namely radiation workers, medical institutions as well as health administration and supervision, in order to reduce the abnormal monitoring data of individual dose and to reduce the risk of exposure to ionizing radiation for radiation workers. Individual dose monitoring results exceeding 1.25 mSv in a single monitoring cycle were collected from selected medical facilities in Jieyang from 2020 to 2022. Radiological workers with abnormal monitoring data were investigated and analyzed. A total of 100 abnormal dose values were identified from 2020 to 2021, with an abnormal rate of 1.27%, among which workers of diagnostic radiology accounted for 89%. 76% of abnormal dose values is mainly between 1.25 and 5 mSv. The first three causes of abnormal dose were that personal dosimeter had been retained in the radiation workplace (36.00%), that personal dosimeter had been worn while supporting patients receiving radiation examination (20.00%), and that the personal workload during wearing dosimeter increased significantly (13.00%). It is necessary to strengthen the protection consciousness of radiation workers and their awareness of the importance of personal dose monitoring, to improve the management system of radiation health and to strengthen the publicity and education, and to strengthen the health supervision and law enforcement, in order to reduce the incidence of individual dose abnormalies.

Key words: individual dose monitoring, abnormal, radiation worker

中图分类号: 

  • R148