首页|电离辐射对心血管内科医务人员血压及心电图的影响

电离辐射对心血管内科医务人员血压及心电图的影响

Effects of ionizing radiation on blood pressure and electrocardiography among healthcare workers in department of cardiovascular diseases

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目的 评价电离辐射对心血管内科医务人员血压及心电图的影响,为制定辐射暴露防护措施提供参考依据.方法 以2018-2022年中国人民解放军联勤保障部队第九○四医院心血管内科暴露于电离辐射的127例心血管内科医护人员作为观察组,以年龄和性别具有可比性、从未暴露于电离辐射的127例心血管内科医护人员作为对照组.测量并比较两组研究对象收缩压、舒张压、心率、高血压检出率及心电图异常率.结果 观察组和对照组研究对象平均年龄(t=0.77,P>0.05)、性别(x2=0.02,P>0.05)、吸烟(x2=0.28,P>0.05)及饮酒比例(x2=0.02,P>0.05)差异均无统计学意义.观察组与对照组研究对象收缩压[(127.77±15.43)mmHg vs.(111.23±19.10)mmHg,t=4.21,P<0.05]和舒张压[(79.32±8.23)mmHg vs.(69.91±10.21)mmHg,t=4.09,P<0.05]差异均有统计学意义;观察组和对照组研究对象高血压患病率分别为17.32%(22/127)和8.66%(11/127),差异有统计学意义(x2=4.21,P<0.05).观察组与对照组研究对象心率差异有统计学意义[(81.10±11.27)次/min vs.(70.45±10.55)次/min,t=4.33,P<0.05];观察组和对照组研究对象心电图异常率分别为21.26%(27/127)和10.24%(13/127),差异有统计学意义(x2=5.82,P<0.05).结论 电离辐射可对心血管内科医务人员血压及心电图造成影响.应加强心血管内科辐射暴露医务工作人员辐射暴露防护、监测和职业健康检查,降低辐射暴露危害,保护医务工作者健康.
Objective To examine the effects of ionizing radiation on blood pressure and electrocardiography among healthcare workers in department of cardiovascular diseases,and to provide a reference for formulating the protective inter-ventions against radiation exposure.Methods A total of 127 healthcare workers with radiation exposure in the Depart-ment of Cardiovascular Diseases of The 904th Hospital of the Joint Logistics Support Force of the PLA from 2018 to 2022 were included in the observation group.Meanwhile,127 age-and gender-matched healthcare workers without radiation ex-posure in the same department during the same study period were included in the control group.The systolic blood pressure,diastolic blood pressure,heart rate,and the detection rates of hypertension and abnormal electrocardiography were compared between groups.Results There were no significant differences between groups in mean age(t=0.77,P>0.05),sex(x2=0.02,P>0.05),prevalence of smoking(x2=0.28,P>0.05),and alcohol consumption(x2=0.02,P>0.05).There were sig-nificant differences between the observation and control groups in systolic blood pressure[(127.77±15.43)mmHg vs.(111.23±19.10)mmHg;t=4.21,P<0.05],diastolic blood pressure[(79.32±8.23)mmHg vs.(69.91±10.21)mmHg;t=4.09,P<0.05],prevalence of hypertension[17.32%(22/127)vs.8.66%(11/127);x2=4.21,P<0.05],heart rate[(81.10± 11.27)beats/min vs.(70.45±10.55)beats/min;t=4.33,P<0.05],and abnormal rate of electrocardiography[21.26%(27/127)vs.10.24%(13/127);x2=5.82,P<0.05].Conclusion Ionizing radiation affects blood pressure and electrocardi-ography among healthcare workers in department of cardiovascular diseases.The prevention and monitoring of radiation ex-posure and occupational physical examination should be improved among healthcare workers with exposure to radiation in the department of cardiovascular diseases,with aims to reduce the hazard of radiation exposure and protect the health of healthcare workers.

Ionizing radiationRadiation exposureHealth effectBlood pressureElectrocardiography

刘丹、黄秀、徐汉丽

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中国人民解放军联勤保障部队第九○四医院心血管内科,江苏无锡 214044

电离辐射 辐射暴露 健康效应 血压 心电图

2024

中国辐射卫生
中华预防医学会 山东省医科院放射医学研究所

中国辐射卫生

CSTPCD
影响因子:0.35
ISSN:1004-714X
年,卷(期):2024.33(1)
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