隋爱霞,李健敏,唐富龙,张宏涛,任菊娜,庞林宾,夏海水,高贞,吴立丽,王娟.放射性125I粒子植入术后密切接触者的辐射安全及防护[J].中华放射医学与防护杂志,2012,32(6):626-628
放射性125I粒子植入术后密切接触者的辐射安全及防护
Radiation safety and protection of close contacts from radiators after implantation of radioactive 125I seeds
投稿时间:2012-05-13  
DOI:10.3760/cma.j.issn.0254-5098.2012.06.016
中文关键词:  放射性125I粒子  有效剂量  警戒时间  防护
英文关键词:Radioactive 125I seed  Effective dose  Precaution time  Protection
基金项目:
作者单位E-mail
隋爱霞 050051 石家庄,河北省人民医院肿瘤一科  
李健敏 050051 石家庄,河北省人民医院肿瘤一科  
唐富龙 张家口涿鹿县医院  
张宏涛 050051 石家庄,河北省人民医院肿瘤一科  
任菊娜 050051 石家庄,河北省人民医院肿瘤一科  
庞林宾 重庆医科大学附属第一医院  
夏海水 050051 石家庄,河北省人民医院肿瘤一科  
高贞 050051 石家庄,河北省人民医院肿瘤一科  
吴立丽 050051 石家庄,河北省人民医院肿瘤一科  
王娟 050051 石家庄,河北省人民医院肿瘤一科 wjuan-boshi@sina.com 
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中文摘要:
      目的 研究放射性125I粒子植入术后密切接触者受照射的有效剂量及警戒时间,科学指导各人群减少辐射损伤。 方法 术后24 h内,采用袖珍辐射仪,监测20例患者距植入部位垂直距离30和100 cm处(模拟密切接触者)的剂量率,根据公式计算相应人群在不同距离受照射的有效剂量及警戒时间。 结果 术后患者植入部位垂直距离30和100 cm处,受照剂量率均随时间延长而衰减(30 cm: t=6.236、6.236、6.235, P<0.05;100 cm: t=7.310、7.315、7.314, P<0.05),且同一时间点30 cm处均大于100 cm处(t=5.962、5.961、5.961、5.962, P<0.05),具有时间-距离效应;同一人群(用相同距离数据模拟),其有效剂量随时间而减少;与术后患者接触时,同住成年人、同住未成年人及孕妇、同事、同床成年人的警戒时间为:0、54、78和109 d。 结论 在各自警戒时间之后,各人群与术后患者接触可以保证自身安全;警戒时间内,则需采取相应保护措施。
英文摘要:
      Objective To study the effective dose and precaution time of the irradiation of the close contact from the radiators who underwent implantation of radioactive 125I seeds so as to guide scientifically people how to avoid radiation damage. Methods Twenty patients with different types of cancer underwent implantation of radioactive 125I seeds with the median value of implantation depth of 2.16 cm. Within 24hs after the operations the dose rates 30 cm and 100 cm from the skin were measured with pocket-size radiometer so as to imitate the situations of the close contacts. The effective doses and precaution times of different persons were calculated according to relevant formula. Results The dose rate a person received at the same time points (1, 54, 78, and 109 d, respectively) decreased along with the increase of the distance from the skin(t=5.962,5.961,5.961,5.962, P<0.05). and the dose rate a person received at the same distance from the skin decreased along with the extension of time (30 cm: t=6.236,6.236,6.235, P<0.05;100 cm: t=7.310,7.315,7.314, P<0.05). At different time points, the dose rates at 30 cm distance point were all significant higher than those at the 100 cm point (P<0.05). The adult living together, minors and pregnant women sharing the room, colleagues, adults who slept together with the patients began to reach the 50% dose constraint values 0, 54, 78 and 109 days after the operation. Conclusions After their precaution time,it's safe to contact with the patients for the groups;otherwise,it's necessary to take some protect works within the precaution time.
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