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目的了解医务工作人员铅接触职业卫生防护的薄弱环节。方法对宜昌市38位放射治疗铅块制作人员及铅块接触人员职业卫生防护及身体状况进行调查分析。结果 30%的医务人员主诉最近1年内经常出现食欲不振、厌食、消化不良、便秘、情绪激动、皮炎和手脚麻木等症状。有主诉症状医务人员中,是否在隔离区内进行操作,差异有统计学意义(χ2=3.96,P﹤0.05),是否在工作间内进食、饮水、吸烟,差异有统计学意义(χ2=6.12,P﹤0.05);18%的医务人员能规范处置所剩余铅及洒落铅。结论医务工作铅接触人员应加强自我防护意识和相关知识的了解,医疗机构应加强职业卫生防护管理,政府部门应加强日常监督管理。
Objective To understand the weak links between occupational health protection and lead exposure of medical workers. Methods The occupational health protection and physical condition of 38 lead radiographers and lead contact workers in Yichang City were investigated. Results 30% of the medical staffs complained of the symptoms of loss of appetite, anorexia, indigestion, constipation, agitation, dermatitis and numbness of hands and feet in the recent one year. Among the medical staff who complained of symptoms, whether there was operation in the isolation zone, the difference was statistically significant (χ2 = 3.96, P <0.05), whether eating in the workplace, drinking water, smoking, the difference was statistically significant (χ2 = 6.12 , P <0.05); 18% of medical staff can regulate the remaining lead and spilled lead. Conclusion Lead workers in medical work should strengthen their understanding of self-protection awareness and relevant knowledge, medical institutions should strengthen occupational health protection and management, and government departments should strengthen daily supervision and management.