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目的了解徐州市医疗机构放射工作人员职业健康监护现状。方法 2012年对徐州市开展放射诊疗工作的各级医疗机构进行放射工作人员职业健康监护情况问卷调查。结果开展放射诊疗工作的医疗机构共371家,其中三级医院占1.6%,二级医院占7.0%,一级医院占31.5%,社区卫生服务中心占17.0%,乡镇卫生院占42.9%。从事放射工作的人员共计1 097人,个人剂量计佩戴率为79.3%,个人剂量监测率为78.3%,体检率为74.5%,培训率为73.7%,职业健康监护档案建档率为73.5%。个人剂量计佩戴率、个人剂量监测率、体检率、职业健康监护档案建档率:三级医院>二级医院、社区卫生服务中心>一级医院、乡镇卫生院(P<0.01);培训率:三级医院>二级医院、社区卫生服务中心>一级医院>乡镇卫生院(P<0.01)。结论开展放射诊疗工作的医疗机构中一级医院和乡镇卫生院所占比例最高,其对放射工作人员的职业健康监护情况却最差,应引起重视。
Objective To understand the current status of occupational health monitoring of radiation workers in medical institutions in Xuzhou. Methods In 2012, a questionnaire survey on occupational health supervision of radiographers was conducted on medical institutions at all levels that carried out radiological diagnosis and treatment in Xuzhou. Results There were 371 medical institutions carrying out radiological diagnosis and treatment work, among which tertiary hospitals accounted for 1.6%, secondary hospitals 7.0%, primary hospitals 31.5%, community health centers 17.0% and township hospitals 42.9%. A total of 1 097 people engaged in radiology work. The personal dosimeter wear rate was 79.3%, the individual dose rate was 78.3%, the physical examination rate was 74.5%, the training rate was 73.7% and the occupational health monitoring file construction rate was 73.5%. Personal dose rate, individual dose rate, physical examination rate and occupational health monitoring file rate: tertiary hospital> secondary hospital and community health service center> primary hospital and township hospital (P <0.01); training rate : Tertiary hospital> secondary hospital, community health service center> primary hospital> township hospital (P <0.01). Conclusion The highest proportion of hospitals and township hospitals in medical institutions carrying out radiological diagnosis and treatment work has the worst occupational health monitoring status for radiological workers, which deserves our attention.