评估和改善心脏导管治疗中的辐射安全:开罗大学医院的一项研究
Muhammad Ghallab1,2, Magdy Abdelhamid3, Mahmoud Nassar3,4
1Department of Cardiovascular Medicine, Cairo University, Cairo, Egypt. m.ghallab91@gmail.com.
概括
心脏导管实验室的辐射安全干预措施显著减少了心脏病学家和患者的辐射剂量. 然而,对辐射保护措施的遵守仍然不足以达到最佳水平,因此需要改善医疗人员和患者的协议.
科学领域:
- 医学物理 医学物理
- 放射学 放射学是一门学科.
- 心脏病学 心脏病学
背景情况:
- 心脏导管实验室是高辐射环境,存在随机和决定性效应的风险.
- 辐射暴露对患者和医疗保健工作者来说都是一个重要的关注点,例如皮肤透光冠状动脉血管塑造和电生理学研究等过程中.
- 在这些环境中,优化辐射安全实践至关重要.
研究的目的:
- 评估和优化心脏导管装置中的辐射安全和健康实践.
- 评估实施的辐射保护措施对辐射暴露的影响.
- 确定需要改进的领域,以符合辐射安全标准.
主要方法:
- 这是一项2019年3月至9月在开罗大学医院进行的横截面研究.
- 涉及700名患者和医疗保健工作者,实时测量辐射.
- 在三个阶段实施了辐射保护措施和教育讲座,收集了有关暴露,程序和合规性的数据.
主要成果:
- 在I期和III期之间,心脏病学家的平均累积辐射剂量显著减少 (P=0.013).
- 患者的辐射剂量也从I阶段大幅下降到III阶段.
- 在操作者剂量,手术/光学时间和患者剂量与性别之间发现了相关性;合规性低于最佳.
结论:
- 需要加强心脏导管装置的辐射安全合规性.
- 遵守辐射安全原则和优化保护措施对于减少暴露至关重要.
- 尽管遵从性很低,但干预措施导致了显著的剂量减少,这强调了需要改进的协议和影响评估的必要性.
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