李小亮,苏垠平,雷淑洁,等.2013-2017年我国职业性放射性疾病诊断情况分析[J].中华放射医学与防护杂志,2018,38(10):779-783.Li Xiaoliang,Su Yinping,Lei Shujie,et al.Analysis of occupational radiation sicknesses diagnosed in China from 2013 to 2017[J].Chin J Radiol Med Prot,2018,38(10):779-783 |
2013-2017年我国职业性放射性疾病诊断情况分析 |
Analysis of occupational radiation sicknesses diagnosed in China from 2013 to 2017 |
投稿时间:2018-05-02 |
DOI:10.3760/cma.j.issn.0254-5098.2018.10.012 |
中文关键词: 职业性放射性疾病 放射工作人员 职业健康监护 |
英文关键词:Occupational radiation sickness Radiation worker Occupational health surveillance |
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中文摘要: |
目的 分析2013-2017年我国职业性放射性疾病的分布变化,了解和掌握我国放射工作人员职业健康风险。方法 根据全国放射卫生信息平台的2013-2017年职业性放射性疾病病例报告,对病例的地区、病种、职业和照射类型等分布进行描述性分析。结果 我国目前共有54家职业性放射性疾病诊断机构,覆盖了除西藏自治区和新疆建设兵团外全部省、自治区和直辖市。2013-2017年,共上报职业性放射性疾病106例,以放射性肿瘤为主,占全部病例的43.40%,其次是外照射慢性放射病和放射性白内障,分别占16.98%和16.04%。全部病例中,从事医学应用的占70.75%,从事工业应用的占13.21%。以照射类型分类,慢性照射最多,占80.19%,而急性照射占5.66%,还有14.15%填报时未注明照射类型。结论 我国职业性放射性疾病发病情况总体呈下降趋势,重点放射工作人员职业健康管理工作应继续加强。 |
英文摘要: |
Objective To analyze the changes in distribution of occupational radiation cases reported from 2013 to 2017 in China and learn about the occupational health risks of radiation workers. Methods Descriptive analyses were made of regional distribution, disease category distribution, occupation category distribution and exposure mode distribution of these cases, according to the reports (2013-2017) of occupational radiation sickness from "Occupational Health of Radiation Workers Management System". Results There were 54 diagnostic radiology agencies for occupational radiation sickness in China that covered all provinces, autonomous regions and municipalities except Tibet and Production and Construction Corps of Xinjiang. A total of 106 new cases were reported from 2013 to 2017. Most of the cases were radiogenic neoplasm (43.40%), and chronic radiation sickness were from external exposure (16.98%) and radiation cataract (16.04%). Most of the cases (70.75%) were engaged in medical application and a small part of the cases (13.21%) engaged in industry application. Chronic exposure (80.19%) was the most frequent form of exposure mode, but acute exposure (5.66%) was very few. A part of cases (14.15%) were reported without exposure mode. Conclusions The morbidity of occupational radiation sickness declined generally in China and occupational health management of key workers should be strengthened continuously. |
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