从组团式援藏看西藏医用辐射防护监测工作的希望之光

目的 了解西藏医用辐射防护现状。保障西藏医疗卫生机构医用辐射工作人员、患者、群众的身体健康与安全。方法 通过多年医用辐射防护监测工作的资料累积，以部分地市为例，分析具有西藏特色的发展历程。依据西藏医用辐射监测的特点，结合组团式援藏帮扶西藏医用辐射监测工作实际经验，分析影响西藏放射工作人员、公众健康与安全的因素并提供相应的应对策略。结果 西藏医用辐射监测工作基础薄弱，在实际医疗卫生机构开展放射诊疗过程中缺乏日常监测以及监督管理等，存在较大的安全隐患。结论 必须坚持在医疗卫生机构建设、验收、运行等各个环节加强监督管理，并在组团式援藏工作模式下，建立西藏本地医用辐射监测队伍，提高西藏医用辐射监测水平，才能切实消除隐患，保证医疗卫生机构长期安全稳定的运行。

The hope of medical radiation protection and monitoring in Tibet can be seen from group assistance

Objective To understand the current situation of medical radiation protection in Tibet. To ensure the health and safety of medical radiation workers, patients and the public in medical and health institutions in Tibet.Methods Based on the data accumulated in many years of medical radiation protection monitoring work, this paper analyzed the development process with Tibetan characteristics by taking some cities as examples. Based on the characteristics of medical radiation monitoring in Tibet, combined with the practical experience of group assistance and assistance for medical radiation monitoring in Tibet, this paper analyzed the factors affecting the health and safety of Tibetan radiation workers and provided corresponding countermeasures.Results The foundation of medical radiation monitoring in Tibet was weak, and the routine monitoring, supervision and management were not available in actual medical and health institutions in the course of radiological diagnosis and treatment.Conclusion It is necessary to strengthen supervision and management in the construction, acceptance inspection and operation of medical and health institutions, and establish a local medical radiation monitoring team in Tibet under the working mode of group assistance, so as to improve the level of medical radiation monitoring in Tibet, effectively eliminate hidden dangers and ensure the long-term safe and stable operation of medical and health institutions.