医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
13期
106-106,107
,共2页
125I放射性粒子%辐射损害%辐射防护%白细胞计数
125I放射性粒子%輻射損害%輻射防護%白細胞計數
125I방사성입자%복사손해%복사방호%백세포계수
25I radioactive seed%Radiation damage%Radiation protection%White blood cellcount
目的通过观察对肺癌125I粒子植入术后患者进行常规护理的护士外周血白细胞的变化情况评估护士受到的辐射损害，探讨有效的辐射防护措施。方法将我院胸外科20例护士随机分为两组：①实验组，n=10；于对照组，n=10。实验组对进行125I放射性粒子植入术后患者（术后立即于植入部位体表覆盖0.25mm铅当量铅橡胶防护衣）进行日常护理，对照组护理人员在本研究进行期间不接触粒子植入术后患者。在第3个月和第个6月对实验组和对照组护士进行外周血白细胞计数进行比较，同时对实验组护理125I粒子植入患者前后的外周血白细胞进行比较，并观察其有无出现急性辐射损伤的相关症状。结果①实验组和对照组白细胞计数平均水平差别无明显统计学意义（P>0.05）；实验组3个月及6月白细胞计数平均水平较实验前无明显改变。于实验组未出现急性辐射损伤的相关症状（包括皮肤粘膜改变及消化系统、泌尿生殖系统病变）。结论对接受125I放射性粒子植入治疗的患者（术后立即于植入体表部位覆盖0.25mm铅当量铅橡胶防护衣）进行日常护理是安全的，不会对护理人员造成急性辐射损伤，是否造成慢性辐射损伤有待进一步研究。
目的通過觀察對肺癌125I粒子植入術後患者進行常規護理的護士外週血白細胞的變化情況評估護士受到的輻射損害，探討有效的輻射防護措施。方法將我院胸外科20例護士隨機分為兩組：①實驗組，n=10；于對照組，n=10。實驗組對進行125I放射性粒子植入術後患者（術後立即于植入部位體錶覆蓋0.25mm鉛噹量鉛橡膠防護衣）進行日常護理，對照組護理人員在本研究進行期間不接觸粒子植入術後患者。在第3箇月和第箇6月對實驗組和對照組護士進行外週血白細胞計數進行比較，同時對實驗組護理125I粒子植入患者前後的外週血白細胞進行比較，併觀察其有無齣現急性輻射損傷的相關癥狀。結果①實驗組和對照組白細胞計數平均水平差彆無明顯統計學意義（P>0.05）；實驗組3箇月及6月白細胞計數平均水平較實驗前無明顯改變。于實驗組未齣現急性輻射損傷的相關癥狀（包括皮膚粘膜改變及消化繫統、泌尿生殖繫統病變）。結論對接受125I放射性粒子植入治療的患者（術後立即于植入體錶部位覆蓋0.25mm鉛噹量鉛橡膠防護衣）進行日常護理是安全的，不會對護理人員造成急性輻射損傷，是否造成慢性輻射損傷有待進一步研究。
목적통과관찰대폐암125I입자식입술후환자진행상규호리적호사외주혈백세포적변화정황평고호사수도적복사손해，탐토유효적복사방호조시。방법장아원흉외과20례호사수궤분위량조：①실험조，n=10；우대조조，n=10。실험조대진행125I방사성입자식입술후환자（술후립즉우식입부위체표복개0.25mm연당량연상효방호의）진행일상호리，대조조호리인원재본연구진행기간불접촉입자식입술후환자。재제3개월화제개6월대실험조화대조조호사진행외주혈백세포계수진행비교，동시대실험조호리125I입자식입환자전후적외주혈백세포진행비교，병관찰기유무출현급성복사손상적상관증상。결과①실험조화대조조백세포계수평균수평차별무명현통계학의의（P>0.05）；실험조3개월급6월백세포계수평균수평교실험전무명현개변。우실험조미출현급성복사손상적상관증상（포괄피부점막개변급소화계통、비뇨생식계통병변）。결론대접수125I방사성입자식입치료적환자（술후립즉우식입체표부위복개0.25mm연당량연상효방호의）진행일상호리시안전적，불회대호리인원조성급성복사손상，시부조성만성복사손상유대진일보연구。
Objectives According to white blood cellcounts of the nursing staf who are close contact with the lung cancer patients received 125I implantion, determine if there is radiation damage ,to explore the radiological protection to the nursing staf . Methods Select 20 nurses of thoracic surgery department of our hospital who met the study design conditions,then divide them into two groups randomly: (1)Experimental group, n=10;(2) Control group, n=10. Nurses in the experimental group did daily care for patients after 125I radioactive seeds brachytherapy (covering the 0.25mm Pb equivalent leaded rubber on the surface of the skin implant site), and during the study period, control group did no contact with the patients received radioactive seeds brachytherapy. Compare the white blood cellcounts in the time points of 3rd and 6th month of the nurses in the experimental group and control group, to determine if there is acute or chronic radiation damage in our nurses.Results 1 The average of blood white cellcount between the the experimental group and the control group has no statistical y significant. White blood cellcount in the time point of 3rd and 6th month has no significant change compared with which before the experiment in the experimental group;2. Nurses in the experimental group were not associated with symptoms of radiation damage. Conclusion Nursing staf who do daily care for patients(covering the 0.25mm Pb equivalent leaded rubber on the surface of the skin implant site) after 125I radioactive seeds brachytherapy won't result in acute radiation damage, if it wil cause chronic radiation damage needs further experiment and research.
