Abstract: Objective To understand the current situation of occupational health management of radiation workers in a grade-A tertiary hospital in Shanghai,provide basis for effective radiation protection management. Methods The occupational health management data of radiation workers in a grade-A tertiary hospital in Shanghai from 2018 to 2021 were collected by the cluster sampling,and the method of retrospective investigation was used for summary analysis. Results Compared with the control group,the abnormal detection rates of thyroid nodules（18.57%）,ophthalmology（12.86%）,B-ultrasound（65.71%）,blood glucose（7.14%） and routine urine（13.57%） of radiation workers from 2020 to 2021 were higher（all P<0.05）,and the abnormal detection rates of B-ultrasound（70.0%） and routine urine（12.50%） of radiation workers from 2018 to 2019 were higher,with a statistically significant difference（all P<0.05）. Among radiation workers,the abnormal detection rates of thyroid nodules（17.58%） and urine routine（19.78%） in women were higher than those in men（all P<0.05）,while the abnormal detection rates of B-ultrasound（76.74%） and blood glucose（7.75%） in men were higher（all P<0.05）. The abnormal detection rate of blood glucose in radiation workers ≥50 years old（16.0%） was higher than that in the group of 30-<40 years old（P<0.05）. The abnormal detection rates of thyroid nodule（4.05%） and urine routine（4.05%） in radiation workers with junior college degree were the lowest（all P<0.05）. The individual dose monitoring results of radiation workers from 2018 to 2021 all conformed to the national standards,and the pass rate of radiation protection training was improved year by year. The qualification rate of radiation machine room testing was 100%. Conclusion The long term low-dose ionizing radiation may cause certain occupational injury to radiation workers,and the medical institutions should strengthen the health management of radiation workers comprehensively and improve the occupational protection.

Key words: Radiation workers, Occupational health examination, Health management, Individual dose monitoring, Machine room protection test