Analysis on radiation effects of peripheral blood cells in 2 387 radiological workers in Wuhan City

Abstract

Abstract: Objective To analyze the situation of occupational health examination of someradiological workers in Wuhan City in 2021,find out the prevention and control countermeasures of occupational diseases. Methods Using the convenience sampling method,2 387 radiological workers from 238 institutions who underwent on-duty and off-duty occupational health examination during and after work in the Wuhan Occupational Disease Prevention and Treatment Hospital from January 1 to December 31,2021 were selected as the radiation group,and divided into subgroups according to gender,age,length of service and type of work. At the same time,614 non-radiation exposure workers were selected as the control group. The peripheral blood cells and lymphocyte micronucleus of different groups were analyzed. Results Compared with the control group,the platelet（PLT） count in the radiation group was decreased,and the difference was statistically significant（P<0.05）,while the differences in detection rate（21.87%） and abnormal rate（0.08%） of lymphocyte micronucleus were not statistically significant（all P>0.05）. The white blood cell（WBC） count,lymphocyte（L） count,neutrophilic granulocyte（NE） count,ed blood cell（RBC） count,hemoglobin（Hb） level and the abnormal rates of Hb and RBC in males were higher than those in females,while PLT count and the abnormal rates of WBC,NE and PLT in females were higher than those in males,and the differences were statistically significant（all P<0.05）.The PLT count and RBC count decreased with age,while the abnormal rate of WBC increased with age,and the differences were statistically significant（all P<0.05）.The WBC count,NE count,Hb level,abnormal rates of WBC and lymphoid micronucleus and detection rate of lymphoid micronucleus increased with the increase of working age. The WBC count,L count,NE count,PLT count,WBC count,Hb level,abnormal rate of Hb and detection rate of lymphatic micronucleus in medical group were higher than those in industrial group and control group,and the differences were statistically significant（all P<0.05）. Conclusion The radiation protection level of radiation workers in Wuhan City is good in general,but the protection of medical radiation workers still needs to be strengthened,and long-term low-level ionizing radiation has some damage to the peripheral blood of radiation workers.

Key words: Radiation workers, Peripheral blood cells, Medical care, Industry, Radiation effects

CLC Number:

R146

MIN Zhi-teng, SHI Meng-die, YIN Wen-jun, LIANG Jiao-jun, YI Gui-lin, CHEN Zhen-long. Analysis on radiation effects of peripheral blood cells in 2 387 radiological workers in Wuhan City. [J]OCCUPATION AND HEALTH, 2023, 39(8): 1030-1034.

References

[1] 张其波,焦永法,刘京伟,等.长期低剂量职业照射对放射工作者健康影响[J].中国公共卫生,2015,31(3):362-364.
[2] 范胜男,王拓,李梦雪,等.2017年我国放射工作人员职业性外照射个人剂量水平与分析[J].中华放射医学与防护杂志,2021,41(2):85-91.
[3] 石梦蝶,王虹,沈勇君,等.武汉市2009—2013年职业外照射个人剂量监测结果分析[J].公共卫生与预防医学,2014,25(2):54-57.
[4] 石梦蝶,王虹,白文娟,等.2009—2016年武汉市介入工作人员个人剂量监测结果分析[J].中国辐射卫生,2017,26(5):531-533.
[5] 齐素芹,杜汉其,刘安生,等.武汉市2017年放射工作人员个人剂量监测结果分析[J].中国职业医学,2020,47(5):618-621.
[6] 中华人民共和国国家质量监督检验检疫总局.电离辐射防护与辐射源安全基本标准:GB 18871—2002[S].北京:中国标准出版社,2002:10-15.
[7] 苏艺伟,林秋月,王建宇,等.广东省放射工作人员职业健康状况分析[J].中华劳动卫生职业病杂志,2021,39(4):278-281.
[8] 中华人民共和国国家卫生和计划生育委员会.放射工作人员健康要求及监护规范:GBZ 98—2020[S].北京:人民卫生出版社,2020:5-8.
[9] 朱卫国,侯长松,佟鹏,等.我国非医疗放射工作单位辐射防护现状分析[J].中华放射医学与防护杂志,2021,41(4):282-287.
[10] 汤丽霞,郭庆华.某市放射工作人员职业健康状况调查分析[J].职业卫生与应急救援,2020,38(2):169-170.
[11] 徐芳,王福如,王进,等.江苏省2017年放射工作人员职业健康体检结果分析[J].中国辐射卫生,2020,29(1):17-20.
[12] 龚力,孙爱娟,何谦,等.低剂量电离辐射效应及其对我国放射作业人员血液指标影响研究进展[J].中国职业医学,2018,45(1):115-118.
[13] 梁栋伟,张振洪,谭晋聪,等.佛山南海地区人群外周血淋巴细胞微核率及微核细胞率的观察分析[J].国际检验医学杂志,2014,35(2):157-158.
[14] 罗环,梁婧,常晓燕,等.98例健康人群中外周血淋巴细胞微核率检测[J].首都公共卫生,2017,11(1):32-34.
[15] 李烨,刘银银,刘刚,等.2015年甘肃省县乡两级医用放射工作人员外周血细胞辐射效应的分析[J].中国辐射卫生,2017,26(5):536-537.
[16] 牛惠芳,刘静,赵可辉,等.我国放射工作人员外周血淋巴细胞微核检查结果分析[J].中国辐射卫生,2016,25(3):308-310.
[17] 林威娜,张涛,曹昆琼,等.放射相关医务人员放射防护知信行调查及影响因素分析[J].云南医药,2021,42(6):574-577.
[18] 潘志伟,闵之藤,李翠玲,等.武汉市医疗卫生机构放射诊疗资源现状调查分析[J].工业卫生与职业病,2021,47(5):435-437.
[19] 吴小琴,李烨,刘刚,等.甘肃省942名放射工作人员白细胞检测结果分析[J].工业卫生与职业病,2021,47(5):438-439.
[20] 闵之藤,潘志伟,李翠玲,等.2016—2017年武汉市医疗卫生机构医用辐射防护监测结果[J].职业与健康,2019,35(20):2747-2751.
[21] 张海洁,兰周燕,石祥,等.不同年龄段壮族健康人群外周血细胞参数检测结果分析[J].检验医学与临床,2014,11(18):2519-2520.
[22] 王雷,钟媛,何明艳,等.小剂量电离辐射对职业人群血细胞影响的Meta分析[J].辐射研究与辐射工艺学报,2018,36(3):44-53.
[23] QIAN Q Z,CAO X K,LIU H Y,et al.Analysis of hemogram of radiation workers in Tangshan,China[J].J Clin Lab Anal,2016,30(5):682-688.
[24] 林秋月,丘丛玺,李燕茹,等.广州市低剂量电离辐射对放射工作人员外周血细胞影响[J].职业卫生与应急救援,2018,36(3):233-235.
[25] 屈敏,孙帅,刘帅秀,等.离子注入技术在纳米集成电路工艺中的关键应用[J].电子世界,2020(21):187-188.
[26] 刘燕,卢宪梅.低剂量电离辐射免疫兴奋效应的研究进展[J].中国辐射卫生,2007,16(4):509-510.