本文選題：放射工作人員 + 體檢資料��； 參考：《昆明醫(yī)科大學(xué)》2013年碩士論文

【摘要】：目的 對云南省部分放射工作人員健康體檢資料進(jìn)行系統(tǒng)分析,了解職業(yè)照射對放射工作人員健康狀況的影響,為將來相關(guān)衛(wèi)生政策的制定和工作的推進(jìn)提供參考和借鑒。 方法 12008年云南省放射工作人員健康狀況分析 將2008年在云南省疾病預(yù)防控制中心進(jìn)行體檢的全部放射工作人員2362人的體檢資料建立數(shù)據(jù)庫,錄入Excel,統(tǒng)計分析運(yùn)用SPSS17.0軟件。了解其人口學(xué)特征,分析不同性別、不同年齡、不同工種、不同機(jī)構(gòu)的血常規(guī)指標(biāo)異常情況及眼晶狀體、微核率的異常情況。 2放射工作人員2005年到2011年7年連續(xù)健康狀況變化分析 將2005至2011年均在云南省疾病預(yù)防控制中心進(jìn)行體檢的放射工作人員共178人7年連續(xù)體檢資料建立數(shù)據(jù)庫,錄入Excel,統(tǒng)計分析運(yùn)用SPSS17.0軟件。分析其人口學(xué)特征,以及不同年份間血常規(guī)指標(biāo)、心電圖、眼晶狀體、自覺癥狀、微核率的動態(tài)變化。 結(jié)果 1放射工作人員人口學(xué)特征和指標(biāo)異常分析 2008年體檢資料顯示,放射工作人員以男性職業(yè)人群為主,年齡分布主要集中在40歲以下,各地區(qū)分布中,集中分布在昆明、曲靖、玉溪三個地區(qū),工種分布以B類射線裝置應(yīng)用為主,醫(yī)療機(jī)構(gòu)放射工作人員占所有放射工作人員的82.7%。 放射工作人員眼睛晶體混濁隨年齡增長而升高,淋巴細(xì)胞微核率隨年齡增長而升高,差異性顯著。工種A放射性同位素應(yīng)用與工種B輻射裝置應(yīng)用的放射工作人員白細(xì)胞、血紅蛋白、血小板異常率比較均無統(tǒng)計學(xué)差異(P0.05)。 2放射工作人員健康狀況變化 對2005年到2011年連續(xù)7年均進(jìn)行體檢的放射工作人員共178人的健康監(jiān)護(hù)資料進(jìn)行分析,7年中每年的白細(xì)胞、血紅蛋白及血小板平均值均在正常值范圍內(nèi),血小板、血紅蛋白、白細(xì)胞在各年度之間的變化沒有明顯規(guī)律。7年資料比較醫(yī)療機(jī)構(gòu)組的放射工作人員白細(xì)胞值平均水平高于非醫(yī)療機(jī)構(gòu)組的放射工作人員,且兩者之間有顯著性差異,醫(yī)療機(jī)構(gòu)組的放射工作人員血紅蛋白值、血小板值平均水平與非醫(yī)療機(jī)構(gòu)組比較無顯著性差異的。自覺癥狀異常情況從2005年到2011年呈明顯下降趨勢。 結(jié)論 放射工作人員長期低劑量職業(yè)照射后,眼晶體異常比例增加,外周血淋巴細(xì)胞微核率可能受到一定的影響,提醒我們應(yīng)該進(jìn)一步加強(qiáng)放射防護(hù),提高放射工作人員的防護(hù)意識和加強(qiáng)個人防護(hù)措施。
[Abstract]:Purpose The health examination data of some radiation workers in Yunnan Province were systematically analyzed to understand the effects of occupational exposure on the health status of radiation workers and to provide reference for the formulation of relevant health policies and the promotion of work in the future. Method Analysis of health status of radiation workers in Yunnan province in 2008 The physical examination data of 2362 radiation workers who were examined in Yunnan Disease Control and Prevention Center in 2008 were set up and recorded in Excel. The statistical analysis was carried out with SPSS17.0 software. To understand the demographic characteristics, analyze the abnormal blood routine index and the abnormal rate of lens and micronucleus of different sex, age, type of work and different institutions. 2 Analysis of the changes of continuous health status of radiation workers for 7 years from 2005 to 2011 From 2005 to 2011, a total of 178 radiation workers who underwent physical examination in the Center for Disease Control and Prevention of Yunnan Province for 7 consecutive years were used to establish the database and input the data into Excel. The statistical analysis was carried out with SPSS17.0 software. The demographic characteristics, blood routine indexes, electrocardiogram, ocular lens, conscious symptoms and micronucleus rate in different years were analyzed. Result 1. Analysis of demographic characteristics and abnormal indexes of radiation workers According to the medical examination data in 2008, the radiation workers are mainly male occupational groups, and the age distribution is mainly under 40 years old. The distribution of each area is concentrated in Kunming, Qujing and Yuxi regions. The type of work was mainly used in B-ray equipment, and the radiation workers in medical institutions accounted for 82.7% of all radiation workers. The rate of micronucleus of lymphocytes increased with age, and the difference was significant. There was no significant difference in the abnormal rates of leukocyte, hemoglobin and platelets between the radiation workers of type A radioisotope and the radiation equipment of type B. There was no significant difference in the abnormal rates of leukocytes, hemoglobin and platelets between the two groups (P 0.05). 2. Changes in health status of radiation workers The health monitoring data of 178 radiation workers who underwent physical examination for seven consecutive years from 2005 to 2011 were analyzed. The average values of white blood cells, hemoglobin and platelets in each of the seven years were within the normal range, platelets, hemoglobin, hemoglobin, There was no obvious change of white blood cell in each year. The average level of white blood cell in 7 year group was higher than that in non-medical organization group, and there was a significant difference between the two groups. There was no significant difference in hemoglobin value and platelet value between the medical institution group and the non-medical institution group. From 2005 to 2011, the abnormal condition of conscious symptoms showed an obvious downward trend. Conclusion After long-term low-dose occupational radiation, the proportion of abnormal eye lens increases, and the micronucleus rate of peripheral blood lymphocytes may be affected to a certain extent, which reminds us that we should further strengthen radiation protection. Enhance the protection awareness of radiation workers and strengthen personal protection measures.
【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R131

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