江苏省2017年放射工作人员职业健康体检结果分析

目的 了解江苏省2017年5 186名放射工作人员的职业健康体检情况，为做好职业性放射性疾病防治及放射防护工作提供理论依据。方法 采用描述性研究方法，对2017年参加职业健康体检的放射工作人员进行横断面调查。采用SPSS统计软件，通过χ²检验，对性别、职业危害接触工龄、工种和体检类型等各项指标与体检异常率进行比较。结果 男性3 516人（构成比67.8%），女性1 670人（构成比32.2%）；从事工业应用的放射工作人员1 601人（30.9%），医学应用1 843人（35.5%），其他593人（11.4%）；分层分析表明，不同性别，不同职业危害接触工龄以及不同体检类型的放射工作人员，血压、心电图、肝B超、胆B超、肾B超体检指标异常率差异具有统计学意义（P < 0.05）；放射工作人员不同性别外周血象异常率比较（除红细胞外）差异具有统计学意义（P < 0.05），不同职业危害接触工龄的放射工作人员白细胞，血红蛋白体检结果差异具有统计学意义（P < 0.05）。结论 长期低剂量接触射线可能影响放射工作人员职业健康状况，因此做好放射工作人员职业健康管理，定期开展职业健康体检显得尤为重要。

Analysis of occupational health examination results of radiation workers in Jiangsu Province in 2017

Objective To analysis the occupational health examination of radiation workers in Jiangsu Province in order to provide theoretical basis for the prevention and treatment of occupational radiation diseases.Methods A cross-sectional survey were carried out to analysis 5186 cases who took part in occupational health examinations in 2017. By using SPSS software and chi-square test, the abnormal rates of physical examination were measured in terms of sex, occupational hazard exposure length of service, type of work and physical examination. Results The study consisted of 3 516 men (67.8%) and 1 670 women (32.2%). Among them, 1 601 persons (30.9%) were involved in industrial applications and 1 843 persons (35.5%) were involved in medical applications, 593 workers (11.4%) engaged in other areas. Stratified analysis showed that the blood pressure, electrocardiogram (ECG), liver B-mode ultrasound, B-ultrasound of the liver and B-ultrasound of the liver had significant differences in the different background of gender, exposure years and physical examination item. There were significant differences in the abnormal rate of peripheral blood (except red blood cells) in different sex of radiation workers (P < 0.05). There was statistical significance of detection rate of hemoglobin abnormalities according to the years of service (P < 0.05).Conclusion Prolonged exposure to low dose radiation may affect the occupational health status of radiation workers . It is especially important to carry out occupational health management and examination regularly.