摘要
目的:了解某市放射工作人员晶状体情况,探究影响晶状体混浊的因素,为加强放射工作人员放射防护管理提供依据。方法:于2020年12月,依据全国放射卫生监测项目,收集某市1家职业健康检查机构2018年12月至2020年11月放射工作人员职业健康检查资料,包括放射工作人员基本信息和眼科检查结果。分析不同亚组放射工作人员晶状体情况,用多因素logistic回归进行晶状体混浊的影响因素分析。结果:共纳入放射工作人员4452人,439名(9.9%)放射工作人员出现晶状体混浊。男性放射工作人员晶状体混浊率高于女性放射工作人员(P<0.05);随着年龄和工龄的增加,放射工作人员晶状体异常增加(rs=0.269、0.212,P<0.01)。从事核医学工作的放射工作人员晶状体混浊率高(12.7%,9/71),离岗体检放射工作人员晶状体混浊率高(18.3%,26/142)。经多因素logistic回归分析,年龄≤30岁组和>30~<50岁组晶状体混浊风险分别是年龄≥50岁组的0.087(95%CI:0.058~0.132)倍和0.076(95%CI:0.054~0.107)倍,工龄≤10年组、>10~<20年组、20~30年组晶状体混浊风险分别是工龄>30年组0.293(95%CI:0.189~0.456)、0.413(95%CI:0.256~0.666)、0.318(95%CI:0.204~0.497)倍。结论:放射工作人员晶状体混浊与年龄和工龄有关,应重点关注高年龄、高工龄的放射工作人员,保障放射工作人员健康。
Objective To understand the lens condition of radiation workers in a city,explore the factors affecting lens opacity,and provide basis for strengthening the radiation protection management of radiation workers.Methods In December 2020,according to the national radiation health monitoring project,the occupational health examination data of radiation workers in an occupational health examination institution in a city from December 2018 to November 2020 were collected,including the basic information of radiation workers and ophthalmic examination results.The lens conditions of radiation workers in different subgroups were analyzed,and the influencing factors of lens opacity were analyzed by multifactor logistic regression.Results A total of 4452 radiation workers were included,of which 439(9.9%)had lens opacity.The lens opacity rate of male radiation workers was higher than that of female radiation workers(P<0.05).With the increase of age and length of service,the lens abnormalities of radiation workers increased(rs=0.269,0.212,P<0.01).The lens opacity rate of radiation workers engaged in nuclear medicine was high(12.7%,9/71).The rate of lens opacity in off-the-job medical examination radiation workers was high(18.3%,26/142).By multivariate logistic regression analysis,the risk of lens opacification in the age≤30-year-old group and the>30-<50-year-old group were 0.087 times(95%CI:0.058-0.132)and 0.076 times(95%CI:0.054-0.107)that in the age≥50-year-old group,respectively.The risk of lens opacification in the age≤10-year-old group,>10-<20-year-old group and 20-30-year-old group were 0.293(95%CI:0.189-0.456),0.413(95%CI:0.256-0.666)and 0.318(95%CI:0.204-0.497)times,respectively.Conclusion The lens opacity rate of radiation workers is related to age and working age.Attention should be paid to high-age and long-term radiation workers to ensure their health.
作者
杨勇
王强
俞爱青
边阳甫
Yang Yong;Wang Qiang;Yu Aiqing;Bian Yangfu(Department of Occupational Health and Radiological Health,Hangzhou Hospital for Prevention and Treatment of Occupational Diseases,Hangzhou 310014,China)
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
北大核心
2022年第7期523-526,共4页
Chinese Journal of Industrial Hygiene and Occupational Diseases
基金
杭州市科技计划引导项目(20191231Y055)
杭州市医药卫生科技项目(A20200566)
浙江省卫生健康科技计划项目(2020KY783、2021KY956)
杭州市科技发展计划项目(20201203B220)。
关键词
辐射
电离
晶状体混浊
放射防护
Radiation,ionizing
Lens opacity
Radiation protection
