首页|荆州市1 096名放射工作人员血象和肝功能的分析

荆州市1 096名放射工作人员血象和肝功能的分析

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目的 探讨放射作业对人体外周血象和肝功能的影响,以期为放射工作人员的身体健康提供参考和帮助.方法 以荆州市疾病预防控制中心2019年1-8月开展职业健康体检的1 096名放射工作人员为放射组,同一时期在该机构进行健康检查的不从事放射及其他有害作业的人群62名为对照组.对两组外周血象和肝功能指标进行统计学分析.结果 两组WBC、NE、LY、RBC、Hb比较,差异无统计学意义(P>0.05).放射组PLT为(218.27±52.32)×1012/L,低于对照组的(231.82±52.16)×1012/L,差异有统计学意义(t=1.985,P<0.05).放射组TBIL、ALB、A/G均优于对照组,差异均有统计学意义(P<0.05);两组ALT、AST、ALP、GGT、TP及GLB比较,差异无统计学意义(P>0.05).放射组AST和TBIL异常率低于对照组,差异均有统计学意义(P<0.05).不同暴露工龄组Hb、ALP、GGT、ALB、TBIL比较,差异均有统计学意义(P<0.05).不同放射类型RBC、Hb、ALT、ALP、TP、ALB、GLB、A/G比较,差异均有统计学意义(P<0.05).结论 推测长期连续或间断接触放射性物质的放射工作人员,会出现PLT和TBIL降低,可能优于WBC计数,是长期低剂量照射效应更敏感的指标.
Analysis on blood picture and liver function among 1 096 radiation workers in Jingzhou City
Objective To explore the influence of radiation operation on human peripheral blood picture and liver function,so as to provide reference and help for the body health of radiation workers.Methods A total of 1 096 radiation workers who carried out occupational health examination in Jingzhou Center for Disease Control and Prevention from January to August 2019 were selected as the radiation group,and 62 people who were not engaged in radiation and other harmful operations who were undergoing health examination in the same period were selected as the control group,and the peripheral blood picture and liver function indicators of the two groups were statistically analyzed.Results There were no significant differences in WBC,NE,LY,RBC and Hb between the two groups(P>0.05).The PLT in the radiation group was(218.27±52.32)×1012/L,which was lower than that in the control group with(231.82±52.16)× 1012/L,and the difference was statistically significant(t=1.985,P<0.05).The TBIL,ALB and A/G in radiation group were better than those in the control group,and differences were statistically significant(P<0.05).There were no significant differences in ALT,AST,ALP,GGT,TP and GLB between the two groups(P>0.05).The abnormal rates of AST and TBIL in the radiation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There were the statistically significant differences in Hb,ALP,GGT,ALB,TBIL among different exposure age groups(P<0.05).There were the statistically significant differences in RBC,Hb,ALT,ALP,TP,ALB,GLB,A/G among different radiation types(P<0.05).Conclusion It was speculated that the decrease of PLT and TBIL in radiation workers exposed to radioactive substances continuously or intermittently for a long time may be superior to WBC count,which were the more sensitive indicators of long-term low-dose radiation effect.

Radiation workersPeripheral blood pictureLiver function

刘书博

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荆州市疾病预防控制中心临床检验室,湖北 荆州 434000

放射工作人员 外周血象 肝功能

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(12)