摘要
目的了解全省基层医疗机构放射防护现状,分析存在的问题,为进一步加强基层医疗机构放射诊疗防护管理提供对策和建议。方法采用事先设计的《基层医疗机构放射防护情况调查表》,重点调查放射诊疗设备和放射影像医师配备情况、放射工作人员职业健康管理情况、个人防护用品配置情况、放射防护检测和设备性能检测情况、放射诊疗建设项目审查情况。结果 CT、DR和CR约占放射诊疗设备的50%,透视机占5.6%,使用10年以上的设备占11.1%;9.9%的基层医疗机构未配备放射影像医师;放射工作人员的体检率、培训率和个人剂量监测率分别为98.6%、98.3%、99.9%;个人防护用品配置率和合格率分别是100%和98%;放射防护检测和设备性能检测合格率分别是99%和99.7%;有25.9%和20.6%的建设项目未进行放射防护预评价和控制效果评价。结论设备落后、陈旧情况依然存在;放射影像医师配备相对不足;放射诊疗建设项目卫生审查率较低;放射工作人员的职业健康管理较规范;个人防护用品的配备率、合格率以及放射防护检测和设备性能检测合格率较高。
Objective To understand the current situation of radiation protection in primary medical institutions and analyze the existing problems,so as to provide countermeasures and suggestions for further strengthening the protection and management of radiation diagnosis and treatment in primary medical institutions. Methods Pre designed questionnaire of＂grassroots medical institutions radiation protection survey＂was used to investigate the configuration condition of equipment of radiation diagnosis and treatment and radiology physicians,occupation health management of radiation workers,personal protective equipment,radiation protection testing and equipment performance testing,and examination of radiation construction projects. Results CT,DR and CR accounted for about 50% of the radiation diagnosis and treatment equipment,while X-ray machines accounted for 5. 6%,and equipment for more than 10 years accounted for 11. 1%. Totaly,9. 9% of the basic medical institutions had no radiology physicians. The rate of examination,training of radiology staff and the rate of individual dose monitoring were 98. 6%,98. 3% and 99. 9%,respectively. Allocation rate and qualified rate of personal protective equipment were100% and 98%,respectively. Qualification rates of radiological protection test and equipment performance test were 99% and99. 7%,respectively. Noting that 25. 9% and 20. 6% of the construction protats did not conduct pre evaluation and control effect evaluation of radiation protection. Conclusion The situation of backward and old equipment still exist. Radiology physicians were relatively lacked. Health examination rate of construction project is low. Occupation health management of radiation workers is normative. The allcation rate,qualified rate of personal protective equipment and qualified rate of radiological protection test and equipment performance test are high.
出处
《中国辐射卫生》
2017年第6期680-682,691,共4页
Chinese Journal of Radiological Health
关键词
放射防护
基层医疗机构
现状分析
Radiation Protection
Primary Medical Institutions
Status Analysis
