微创骨科手术医护人员辐射防护现状调查分析

目的 调查微创骨科手术医护人员辐射防护现状。方法 2019年3月—2019年5月对山东省9所三级医院149名参加微创骨科手术的骨科医生、麻醉医生和手术室护士进行问卷调查。采用自行设计的问卷，调查医护人员的一般人口学资料、辐射防护现状及辐射防护相关知识的知晓情况。结果 山东省9所三级医院参与微创骨科手术的员工每年进行职业健康查体的占53.0%，参加辐射防护工作培训的占66.4%，每年平均参加培训0.46 ±0.74次。30岁以下医务人员在防护知识得分上明显低于其他年龄人群（P < 0.05）。更希望的培训方式是现场模拟指导（87.3%），更期望了解辐射防护用品使用、电离辐射防护原则及标准C形臂操作使用等方面内容（81.88%、71.81%、75.84%）。结论 在微创骨科术中的辐射防护方面，医院管理者不够重视，辐射防护制度执行不足，防护用品配备不完善。虽然部分医院定期进行培训，但防护知识知晓程度不高，并且培训内容与临床应用存在差距，需要改进培训模式，加强培训。

Investigation and analysis on radiation protection status of medical staff in minimally invasive orthopedic surgery

Objective To investigate the current status of X-ray radiation protection for medical staff of minimally invasive orthopedic surgery.Methods From March 2019 to May 2019, a questionnaire survey was conducted among 149 orthopedic surgeons, anesthesiologists and operating room nurses who participated in minimally invasive orthopedic surgery in 9 tertiary hospitals in Shandong Province. A self-designed questionnaire was used to investigate the general demographic data, the status of radiation protection, and the knowledge of radiation protection.Results The employees participating in orthopedic minimally invasive surgery in 9 tertiary hospitals in Shandong Province accounted for 53.0% of the occupational health examinations each year, 66.4% participated in the radiation protection work training, and averaged 0.46 times per year. Medical staff under the age of 30 were significantly lower in protective knowledge scores than other age groups (P < 0.05). The more desirable training method is on-site simulation guidance (87.3%), and it is more desirable to understand the use of radiation protection products, the principle of ionizing radiation protection and the use of standard C-arm operation (81.88%、71.81%、75.84%).Conclusion In the aspect of radiation protection in orthopedic minimally invasive surgery, hospital administrators pay insufficient attention to the implementation of radiation protection system and inadequate protection equipment. Although some hospitals conduct regular training, the awareness of protection knowledge is not enough, and there is a gap between training content and clinical application. It is necessary to improve the training mode and strengthen training.