市、县、乡级医院放射工作人员肝肾健康状况比较研究

目的 研究市、县、乡级医院放射工作人员肝肾健康状况及差异。方法 选择市、县、乡级医院放射工作人员为研究对象，收集其2015-2016年职业健康体检资料，统计分析肝脏、胆囊、肾脏B超检查结果、肝肾功能检查结果及尿常规检查结果。结果 乡级医院胆囊B超异常检出率小于县级医院，差异有显著性（P<0.05）；乡级医院与县级医院、市级医院比较，县级医院与市级医院比较，谷丙转氨酶（ALT）异常检出率均有明显差异（P<0.05）；乡级医院总胆红素（TBIL）异常检出率明显大于县级医院（P<0.05）；县级医院总胆红素TBIL异常检出率明显小于市级医院（P<0.05）；乡级医院直接胆红素（DBIL）异常检出率明显大于县级医院、市级医院（P<0.05）；乡级医院肌酐（CREA）异常检出率大于县级医院、市级医院，差异均有显著性（P<0.05）；乡级医院尿常规异常检出率大于县级医院，差异有显著性（P<0.05）；县级医院尿常规异常检出率明显小于市级医院（P<0.05）。结论 乡级医院放射工作人员肝肾健康状况相对县、市级医院较差。

Comparative study of liver and kidney health among radiation workers in city,county and township hospitals

Objective To study the status and differences of liver and kidney health among radiation workers in city, county and township hospitals.Methods Selecting radiation workers from city, county and township hospitals as the research objects, collecting occupational health examination data from 2015 to 2016, analyzing the results of B-ultrasound of liver, gallbladder and kidney, liver and kidney function test results, and routine urinalysis results.Results The abnormal detection rate of gallbladder B-ultrasound in township hospitals was less than in county hospitals, and there was a significant difference (P<0.05); compared with township hospitals and county hospitals, compared with township hostpitals and city hospitals, compared with county hospitals and city hospitals, abnormal detection rate of alanine transaminase(ALT) was significantly different (P<0.05); abnormal detection rate of total bilirubin(TBIL) in township hospitals was significantly higher than in county hospitals (P<0.05); abnormal detection rate of TBIL in county hospitals was significantly less than in city hospitals(P<0.05); abnormal detection rate of direct bilirubin(DBIL) in township hospitals was significantly higher than in county hospitals and in city hospitals(P<0.05); abnormal detection rate of creatinine(CREA) in township hospitals was significantly higher than in county hospitals and in city hospitals(P<0.05);abnormal detection rate of routine urinalysis in township hospitals was significantly higher than in county hospitals (P<0.05); abnormal detection rate of routine urinalysis in county hospitals was significantly less than in city hospitals (P<0.05).Conclusion The liver and kidney health status of radiation workers in township hospitals is relatively poor compared with that of county and city hospitals.