摘要
目的了解南京市医用放射作业人员甲状腺B超异常情况及其影响因素。方法于2018年1月1日至12月31日,选择南京市所有医疗机构参加放射性职业健康检查的1648名医用放射作业人员为研究对象。分析作业人员的甲状腺B超异常情况,比较甲状腺正常组和异常组的性别、年龄、接害工龄、专业、岗位等的分布情况,并对甲状腺B超异常的影响因素进行分析。结果医用放射作业人员甲状腺B超异常率为39.4%(650/1648),甲状腺结节、回声不均、囊肿的检出率差异有统计学意义(P<0.01)。甲状腺B超正常和异常组作业人员年龄、接害工龄、岗位、血压和血糖分布差异均有统计学意义(P<0.01)。甲状腺B超异常率随着年龄、接害工龄的增加而增加(χ2趋势=93.093、99.346,P<0.01),年龄≥31岁、接害工龄≥20年、技师以及血压、血糖异常均可能增加甲状腺B超异常的风险(P<0.01);饮酒可能降低甲状腺B超异常的风险(P<0.01)。结论南京市医用放射作业人员甲状腺异常受年龄、接害工龄、岗位、血压和血糖等影响,应加强防护,做好全面健康管理。
Objective To investigate the abnormal condition of thyroid B-ultrasonography in medical radiological workers and provides basis for health management of them.Methods From January 1,2018 to December 31,1648 staff members exposed to medical radiation who participated in radiation health examination in all medical institutions in Nanjing to analyze their thyroid B-ultrasonography and compare the sex,age,length of service,blood pressure,blood glucose,smoking,drinking,professional and The post was analyzed statistically,and the influencing factors of thyroid B super anomaly were analyzed.Results Among the 1648 staff members,the abnormal rate of thyroid B-ultrasonography accounted for 39.4%(650/1648),and the comparison of thyroid nodule,thyroid echo irregularity and thyroid cyst detection rate was statistically significant(P<0.01).Compared with the normal group,the abnormal rate of thyroid B was statistically significant in different age groups,different injury working age groups,different posts,blood pressure and blood sugar(P<0.01).The abnormal rate of thyroid B-ultrasound increased with the increase of age and working age(χ2trend=93.093、99.346,P<0.01),especially the age over 40 and working age over 20 years increased the risk of abnormal thyroid B-ultrasound.Abnormal blood pressure and blood sugar were the risk of abnormal thyroid B-ultrasound(P<0.05).Drinking alcohol could reduce the risk of abnormal thyroid B-ultrasound(P<0.05).Conclusion Medical radiation workers in Nanjing thyroid abnormalities are affected by age,working age,post,blood pressure,blood glucose,should strengthen protection,do a good job of comprehensive health management.
作者
张萍
朱春红
董翔
Zhang Ping;Zhu Chunhong;Dong Xiang(Department of Occupational Diseases,Nanjing Hospital for Occupational Diseases Prevention and Treatment,Nanjing,Jiangsu 210042,China)
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
北大核心
2019年第12期940-942,共3页
Chinese Journal of Industrial Hygiene and Occupational Diseases
关键词
放射
甲状腺
B超
影响因素
Radiation
Thyroid gland
B ultrasound
Influence factor
