摘要
目的了解东莞市放射工作人员的健康状况,探讨其影响因素。方法根据GBZ 235-2011《放射工作人员职业健康监护技术规范》,本文于2018年对东莞市2825名放射工作人员进行职业健康检查。采用logistic回归模型探讨晶状体浑浊、脂肪肝和甲状腺功能异常的影响因素。结果本次调查对象平均年龄(32.7±8.8)岁,其中男性1989名,占70.4%;晶状体浑浊、脂肪肝和甲状腺功能异常发生率分别为4.7%、22.9%、8.8%。Logistic回归结果表明,医疗放射工作是晶状体浑浊(OR=1.554,95%CI:1.002~2.409)、脂肪肝(OR=1.271,95%CI:1.023~1.580)和甲状腺功能异常(OR=1.305,95%CI:1.043~1.632)的危险因素。年龄<30岁、上岗前及在岗期间进行健康检查能降低脂肪肝和甲状腺功能异常发生的风险。结论电离辐射职业暴露可能影响放射工作人员的健康,应加强职业健康检查工作。
Objective To understand the health status of radiation workers in Dongguan City,explore the influencing factors.Methods According to the"Specifications for occupational health surveillance for radiation workers"(GBZ 235-2011),2825 radiation workers in Dongguan City received the occupational health examination in 2018.A logistic regression model was used to estimate the influenced factors of lens opacities,fatty liver and thyroid dysfunction.Results Of 2825 radiation workers for this analysis,the average age was(32.7±8.8)years old,1989(70.4%)were males.The rate of lens opacities,fatty liver and thyroid dysfunction was 4.7%,22.9%and 8.8%,respectively.Logistic regression results showed that the medical radiation work was the risk factor for lens opacities(OR=1.554,95%CI:1.002-2.409),fatty liver(OR=1.271,95%CI:1.023-1.580)and thyroid dysfunction(OR=1.305,95%CI:1.043-1.632).Younger(<30 years old)and receiving the pre-employment physical examination and on-service physical examination could reduce the risk of fatty liver and thyroid dysfunction.Conclusion Occupational exposure to ionizing radiation may affect the health of radiation workers,and the work of occupational health examination should be strengthened.
作者
马一欣
彭建梅
马争
刘伟东
郑嘉
叶瑞祺
MA Yi-xin;PENG Jian-mei;MA Zheng;LIU Wei-dong;ZHENG Jia;YE Rui-qi(Department of Health Care,Sixth People's Hospital of Dongguan(Dongguan Occupational Disease Prevention and Control Center),Dongguan Guangdong,523008,China)
出处
《职业与健康》
CAS
2019年第21期2884-2887,共4页
Occupation and Health
基金
东莞市社会科技发展（重点）项目（2018507150051626)
关键词
放射
晶状体浑浊
脂肪肝
甲状腺功能
Radiation
Lens opacities
Fatty liver
Thyroid dysfunction
