衡水市医疗照射应用频度调查分析

目的 了解衡水市放射诊疗机构医疗照射诊疗现况。方法 采用普查的形式对衡水市开展医用诊断、介入治疗、放射治疗、临床核医学项目的各级各类医疗机构进行调查分析，并结合衡水市人口资料计算放射诊疗应用频度。结果 衡水市2016年取得放射诊疗许可证的医疗卫生机构数为105家，医用诊断应用频度为253.72人次/千人口，介入放射学的应用频度为1.42人次/千人口，放射治疗的应用频度为0.36例/千人口，临床核医学的应用频度为0.33人次/千人口。全市只有4个县区开展介入放射学，7个县区开展放射治疗，临床核医学只有桃城区一家医院开展，医疗照射发展很不平衡。结论 初步掌握了本市放射诊疗机构的医疗照射频度水平，充实了本市医疗放射卫生项目的基本资料，要发挥二级医院“中流砥柱”、一级医院“基础分流”的作用，减轻三级医院的就医压力。为今后放射诊疗发展提供参考，为进一步开展放射卫生工作打下基础。

Analysis on frequency of medical exposure in Hengshui City

Objective To acquire the status of medical radiation diagnosis and treatment in radiation diagnosis and treatment institutions in Hengshui City.Methods Survey and analysis were carried out on various medical institutions in Hengshui city carrying out medical diagnosis, interventional therapy, radiotherapy and clinical nuclear medicine projects. The application frequency of radiological diagnosis and treatment was calculated based on the population data of Hengshui city.Results The number of medical and health institutions in Hengshui City that obtained the radiological diagnosis and treatment permits in 2016 was 105. The frequency of medical diagnosis was 253.72 per 1000 population, the frequency of interventional radiology was 1.42 per 1000 population, the frequency of radiotherapywas 0.36 per 1000 population, and the frequency of clinical nuclear medicine was 0.33 per 1000 population. There are only 4 counties and districts in the city to carry out interventional radiology, 7 counties and districts to carry out radiotherapy, and clinical nuclear medicine is carried out in only one hospital in Taocheng District, and the development of medical irradiation is very uneven.Conclusion We have preliminarily grasped the level of medical exposure frequency in the city’s radiological diagnosis and treatment institutions, enriched the basic data of the city's medical radiological health projects, and should give full play to the role of "mainstay" in the second-level hospital and “basic diversion” in the first-level hospital, so as to reduce the pressure on the third-level hospital to seek medical treatment. It provides reference for the future development of radiological diagnosis and treatment, and lays the foundation for further development of radiological hygiene work.