在心脏病室工作人员和导管患者中X射线的血液学和细胞遗传学影响
Haliz Hussein1, Asaad Alasady1, Khairi Ms Abdullah2
1Department of Anatomy, Histology, and Biology, College of Medicine, University of Duhok, Duhok, IRQ.
Cureus
|March 7, 2024
概括
这项研究评估了心脏导管实验室的辐射暴露. 虽然工作人员和患者的血液参数在很大程度上没有受到影响,但在术后的患者中观察到受损细胞的增加.
科学领域:
- 医学物理 医学物理
- 辐射生物学 辐射生物学
- 职业健康 职业健康 职业健康
背景情况:
- 射线在心脏导管治疗中至关重要,但对患者和工作人员构成辐射风险.
- 评估辐射剂量和生物效应对于导管实验室的安全至关重要.
研究的目的:
- 为了估计导管装置中的散射辐射剂量.
- 测量在工人和接受心脏导管治疗的患者中吸收的剂量.
- 为了评估辐射暴露后的血液学和细胞遗传变化.
主要方法:
- 这项为期一年的研究涉及19名长期暴露的工人和45名患者.
- 使用区域监测探测器,光学刺激发光剂量计 (OSL) 和平板探测器 (FPD).
- 分析了白细胞中的12个血液学参数和染色体异常.
主要成果:
- 该单位的散射辐射水平保持稳定.
- 大多数血液参数与对照人群有显著差异,但在正常范围内.
- 在手术后的患者中,受损细胞显著增加,而工人则显示出稳定的水平.
结论:
- 导管装置中的辐射暴露并没有显著改变分散的X射线水平.
- 在工人或患者身上没有发现对血液指标的显著不良影响.
- 患者在术后表现出受损细胞的增加,突出显示了潜在的风险.
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