|
|
A field research on the ionizing radiation level and protective effect in X-ray bedside radiography |
CHEN Biao1, CHEN Chunhui1, GAO Linfeng2, YAO Jie2, XIAO Hong2 |
1. Agency for Public Health Inspection, Municipal Health Family Planning Commission of Shanghai, Shanghai 200031 China; 2. Shanghia Municipal Center for Disease Control and Ptevention |
|
|
Abstract Objective To study the level of ionizing radiation and the protective effects after taking intervention measures for the X-ray bedside radiography, and to provide the basis for further development of management standards.Methods A total of 15 bedside radiography sites from 12 medical institutions were randomly selected from the 9 districts in Shanghai.By simulating their daily working conditions, the dose equivalent rates at the observation points were monitored and evaluated.Results The dose equivalent rates around the bedside were all higher than the background in this study.Even at the similar exposure conditions, the dose rate largely varied with the device.The range of the dose rate varied from 3.9 μSv/h to 5 800 μSv/h without any protective screens, while the range was only from 0.095 μSv/h to 22.1 μSv/h with the use of protective screens.The higher the lead equivalent of the screen, the better the protective effect.Conclusion Different bedside X-ray equipment have different self-protective performance, which leads to the difference of radiation level in the workplace. Purchasing equipment with good protective performance, using carefully and doing well in maintenance are the important guarantees to reduce the radiation dose. The adjacent patients, medical staff and visitors are recommended to be evacuated when performing the bedside X-ray photography. For those who can not be evacuated, it is suggested to use a convenient and practicaland mobile protective screen.
|
Received: 03 November 2018
|
|
|
|
|
[1] 陈建新,付丽媛,黄艺生,等. 移动CR与移动DR在床旁胸部摄影中的应用比较[J].生物医学工程与临床,2010,14(5):394-397. [2] 姚小东,董强,史文晋,等.乐山某市级医院骨科及ICU病房床边X射线摄影屏蔽防护效果[J]. 职业与健康2010,26(22):2583-2584. [3] 李勇,卢家凤,顾航,等. 新生儿床边胸部计算机X射线摄影与辐射防护[J].中国医学装备2014,11(2):47-48. [4] 郁仁强,曾勇明,金瑞,等.铅防护屏使用前后床旁DR受检者及邻近患者辐射剂量的比较[J]. 中国辐射卫生,2015,24(6):583-586. [5] 中华人民共和国国家卫生和计划生育委员会.GBZ 130-2013医用X射线诊断放射防护要求[S].北京:中国标准出版社,2013. [6] 徐跃,梁碧玲.医学影像设备学[M].3版.北京:人民卫生出版社,2012:18-21. [7] 彭志宏.基于床边X线机的操作及注意事项分析[J].影像技术2014,26(3):56-57. [8] International Electrotechnical Commission. IEC 60522 Determination of the permanent filtration of X-ray tube assemblies[S] Switzerland:1999. [9] 沈青,崔茜,纪灏,等.医用移动式X射线机床旁操作辐射水平调查[J].中国辐射卫生,2016,25(1):44-47. [10] 中华人民共和国作家质量监督检验检疫总局.GB 18871-2002电离辐射防护与辐射源安全基本标准[S].北京:中国标准出版社,2002. [11] 中华人民共和国国家卫生和计划生育委员会.GBZ 264-2015车载式医用X射线诊断系统的放射防护要求[S].北京:中国标准出版社,2015. [12] 中华人民共和国卫生部.GBZ 126-2011电子加速器放射治疗放射防护要求[S].北京:中国标准出版社,2011. [13] 胡益斌,景生华.便携式床边X射线防护帘的研制[J]. 医疗卫生装备,2011,32(12):45-46. |
|
|
|