| 宁国英,顾玉江,翟爱华,等.2023年济南市放射诊疗机构X射线诊断资源应用现况调查分析[J].中华放射医学与防护杂志,2025,45(4):341-345.Ning Guoying,Gu Yujiang,Zhai Aihua,et al.An investigation of diagnostic X-ray resources in Jinan in 2023[J].Chin J Radiol Med Prot,2025,45(4):341-345 |
| 2023年济南市放射诊疗机构X射线诊断资源应用现况调查分析 |
| An investigation of diagnostic X-ray resources in Jinan in 2023 |
| 投稿时间：2024-07-11 |
| DOI：10.3760/cma.j.cn112271-20240711-00258 |
| 中文关键词: X射线诊断 频度 现况调查 |
| 英文关键词:X-ray diagnosis Frequency Status |
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| 中文摘要: |
| 目的 调查济南市放射诊疗机构X射线诊断资源情况,为不断优化放射诊断资源配置,加强放射卫生防护管理提供理论依据。方法 根据2023年济南市医疗卫生机构医用辐射防护监测项目工作方案,使用统一调查表,对济南市开展X射线诊断的医疗机构进行普查(不含军队医院和牙科诊所),调查内容包括X射线诊断机构基本情况、X射线诊断设备配置情况、X射线诊断工作人员数量、X射线诊断频次等信息。结果 2023年济南市X射线诊断机构共298家,X射线诊断工作人员3 494人,X射线诊断设备1 387台。其中,三级医院、二级医院、一级医院和未评级医院分别为41、57、110、90家,X射线诊断工作人员数和设备数均以三级医院最多,分别占60.99%和45.35%;各类X射线诊断设备中,DR机数量最多,占34.37%,其次为CT机,占24.44%,每百万人平均拥有X射线诊断设备147.32台;各类X射线诊断检查频次总计818.0363万人次,CT诊断占46.93%,X射线摄影占34.41%;各类X射线诊断频度为868.86人次/千人口,其中CT诊断检查频度为407.76人次/千人口。结论 济南市各类X射线诊断设备人均拥有量位于较高水平。医疗照射频度尤其是CT检查频度明显增加,不同级别医院间资源配置差距较大,应科学调控资源配置,并加强CT检查防护工作。 |
| 英文摘要: |
| Objective To investigate the current status of diagnostic X-ray resources in Jinan in order to provide theoretical basis for continuously optimizing the allocation of diagnostic resources and strengthening the management of radiological health and radiation protection. Methods In accordance with the 2023 Jinan radiation protection monitoring program of medical and health institutions, a survey was carried out for medical institutions involved in diagnostic X-ray examinations (excluding military hospitals and dental clinics) in Jinan by using uniform questionnaires. The survey included the basic situation of diagnostic X-ray institutions, the allocation of diagnostic X-ray equipment, the number of diagnostic staff, and the frequency of diagnositic X-ray examinations. Results In 2023, there were 298 diagnostic X-ray institutions in Jinan, with 3 494 diagnostic workers and 1 387 items of diagnostic X-ray equipment. The included were 41 tertiary hospitals, 57 secondary hospitals, 110 primary hospitals and 90 unrated hospitals. The tertiary hospitals possessed the largest number of the diagnostic workers and equipment, accounting for 60.99% and 45.35% of the total, respectively. Among all the items of diagnostic X-ray equipment, the number of items of digital radiography equipment ranked top (34.37%), followed by CT machines (24.44%). There were 147.32 items of diagnostic X-ray equipment per million population on average. A total of 8 180 363 individuals received various types of diagnostic X-ray examinations, with CT diagnosis accounting for 46.93% and X-ray for 34.41%. The frequency of diagnostic X-ray examinations was 868.86/1 000 population, including the frequency of CT examinations of 407.76 per 1 000 population. Conclusions The per capita possession of medical X-ray equipment in Jinan is at a high level. The frequency of medical exposure has increased significantly, especially CT examinations. There is a big gap in diagnostic X-ray resource allocation between different levels of hospitals, so it is necessary to control the resource allocation and strengthen the protection of CT examination on the scientific basis. |
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