首页|2020-2022年揭阳市部分医疗机构个人剂量监测异常数据分析

2020-2022年揭阳市部分医疗机构个人剂量监测异常数据分析

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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.
Analysis on abnormal dose values of individual dose monitoring for radiation workers in some medical institutions in Jieyang City from 2020 to 2022
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 ra-diation 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 ab-normal dose values is mainly between 1.25 and 5 mSv.The first three causes of abnormal dose were that per-sonal 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 con-sciousness 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.

individual dose monitoringabnormalradiation worker

陈曦

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揭阳市疾病预防控制中心,广东 揭阳 522031

个人剂量监测 异常 医疗机构

2024

辐射防护通讯
中国辐射防护研究院

辐射防护通讯

影响因子:0.135
ISSN:1004-6356
年,卷(期):2024.44(6)