Abstract: Objective To understand the health status of radiation workers in Xinjiang from 2020 to 2021,provide reference for occupational health monitoring. Methods The occupational health examination reports of 3 530 radiation workers in Xinjiang from 2020 to 2021 were analyzed. Results The abnormal rates of hemoglobin（8.0%）,white blood cell（8.6%）,platelet（8.9%）,thyroid function（14.4%）,electrocardiogram（14.3%） and blood pressure（20.1%） in radiation group were higher than those in control group（5.2%,5.2%,6.5%,11.0%,5.8% and 8.9%）,and the differences were statistically significant（all P<0.05）. There were statistically significant differences in the abnormal rates of hemoglobin,platelet,blood pressure,electrocardiogram,chest radiograph and thyroid stimulating hormone between different genders（all P<0.05）. There were statistically significant differences in the abnormal rates of triiodothyronine,blood pressure,electrocardiogram,chest X-ray,ophthalmology and the detection rate of chromosome aberrations among different age and working age groups（all P<0.05）. There were statistically significant differences in the abnormal rates of white blood cells,platelets,electrocardiogram and the detection rate of chromosome aberrations among different types of work（all P<0.05）. Conclusion The health damage due to exposure to radiation has been observed in occupational radiation workers in Xinjiang from 2020 to 2021,and the attention should be paid to medical radiation workers.

Key words: Radiation workers, Occupational health examination, Abnormal rate, Radiological protection