| 李宝欣,李亚京,于磊,等.北京地区介入放射诊疗资源与防护状况调查与分析[J].中华放射医学与防护杂志,2022,42(7):531-537.Li Baoxin,Li Yajing,Yu Lei,et al.Investigation and analysis on resources and radiation protection status of interventional radiology in Beijing[J].Chin J Radiol Med Prot,2022,42(7):531-537 |
| 北京地区介入放射诊疗资源与防护状况调查与分析 |
| Investigation and analysis on resources and radiation protection status of interventional radiology in Beijing |
| 投稿时间：2022-02-16 |
| DOI：10.3760/cma.j.cn112271-20220216-00056 |
| 中文关键词: 北京地区 介入放射学 放射诊疗 放射防护 |
| 英文关键词:Beijing Interventional radiology Radiology diagnosis and treatment Radiation protection |
| 基金项目:北京市预防医学公益应用研究项目(2019-BJYJ-09);北京市高层次公共卫生技术人才建设项目(学科带头人-01-20) |
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| 中文摘要: |
| 目的 调查北京地区介入放射诊疗资源分布和放射防护状况,规范介入放射诊疗行为并促进放射防护监管措施的落实。方法 以北京地区开展介入放射诊疗工作的各级各类医疗机构为调查对象,设计专门的调查表并成立市区两级调查组,逐级调查各区域截至2020年底介入放射工作基本情况和介入放射工作人员职业健康监护情况,依据国家有关法规标准对指标参数进行分析评估。结果 截至2020年底,北京地区开展介入放射工作的医疗机构93家,800 mA(含)以上数字减影血管造影机(DSA)236台;开展介入放射学手术135 593例,年介入手术量在1 000例以上的40家,10~1 000例的41家;介入放射工作人员3 539人,持有《放射工作人员证》者为99.0%,职业健康检查、个人剂量监测和放射防护培训通过率分别为96.9%、99.5%和95.8%;配置的工作人员防护用品3 532件,其中98.9%的机构配备了分体式铅衣或一体式铅衣,但6.5%的机构未配置铅防护眼镜、54.9%的机构未配置铅防护手套。结论 北京地区介入放射诊疗防护状况和防护管理总体较好,但应结合介入放射诊疗资源分布的现况进一步完善监管机制,强化人员的在岗期间职业健康检查、放射防护培训和防护用品的配置与使用。 |
| 英文摘要: |
| Objective To ascertain the distribution of interventional radiodiagnosis and treatment resources and the current situation of radiological protection in Beijing, standardize the interventional radiodiagnosis and treatment, and promote the implementation of radiation protection regulatory measures. Methods Various medical institutions at differetn levels that perform interventional radiodiagnosis and treatment in Beijing were identified as the survey objects. With special questionnaires designed, the investigation groups at two levels of municipality and district was established to investigate the basic situation of interventional radiology and occupational health monitoring by the end of 2020. The indexes and parameters were analyzed and evaluated under the relevant national regulations and standards. Results By the end of 2020, there were 93 medical institutions performing interventional radiology in Beijing, together with 236 digital subtraction angiography machines (DSA) with higher than 800 mA. A total of 135 593 cases of interventional radiological surgical operation were performed. There were 40 hospitals annually performing more than 1 000 cases and 41 hospitals perfoming 10-1 000 cases. There were 3 539 interventional radiological workers, with 99.0% holding radiological worker certificates. The passing rates of occupational health examination, personal dose monitoring and radiation protection training were 96.9%, 99.5% and 95.8%, respectively. A total of 3 532 sets of protective articles were provided for the workers, of which 98.9% were equipped with split or integrated lead clothing, but 6.5% were not equipped with lead protective glasses and 54.9% were not equipped with lead protective gloves. Conclusions The radiation protection management for the interventional radiodiagnosis and treatment is generally good. However, the regulatory mechanism should be further improved based on the current distribution of interventional radiodiagnosis and treatment resources, with focus on strengthening the occupational health examination, the radiation protection training, and the configuration and use of protective equipment. |
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