甲状腺癌131I清甲治疗病房环境辐射安全性探析.docVIP

甲状腺癌131I清甲治疗病房环境辐射安全性探析作者单位：300052 天津医科大学总医院 通讯作者：贾强 【摘要】 目的 监测大剂量131I治疗后病房及病区内环境γ射线的辐射剂量率水平，评价医疗活动过程的辐射安全性，明确大剂量131I治疗后对环境的影响。方法 分别用γ辐射仪测量的17次患者治疗后24 h病房内距离患者1 m处及病区环境的γ辐射剂量率水平。结果 γ辐射仪测得的病房内距离患者1 m处γ辐射剂量率水平最大为21.71 μSv/h，根据我国《电离辐射防护与辐射源安全基本标准》计算，笔者所在科室工作人员每日可在此辐射环境下工作3.8小时；病区环境中走廊剂量率水平最大为0.58μSv/h，计算得一般公众每日可在此辐射环境下停留7.17小时。结论 实施大剂量131I治疗后，采取恰当防护措施，完全能保证核医学科工作者处于电离辐射容许剂量范围之内，病区环境电离辐射水平相对安全。 【关键词】 分化型甲状腺癌； 放射性碘； 辐射安全性 A Study on radiation safety of ward environment during 131I ablation therapy for thyroid cancer JIA Qiang，HE Ya-jing，MENG Zhao-wei，ZHANG Gui-zhi，TAN Jian.Tianjin Medical University General Hospital，Tianjin 300052，China 【Abstract】 Objective Monitoring the level of γ-ray’s radiation dose rate of our ward and area after therapy with large dose 131I, evaluate the safety of treatment process and identify the influence to the environment.Methods To analyze the γ radiation dose rate level which were detected with γ-radiometer in where the ward one meter from the patients and the environment of our department 24 hour after therapy of 17 group patients.Results The maximum γ radiation dose rate level is 21.71 μSv/h in the ward, the staff can work 3.8 hours per day in this radiation environment according to the 《Basic standards for protection against ionizing radiation and for the safety of radiation sources》of our country. The maximum γ radiation dose rate level is 0.58 μSv/h in the walkway of our department, the common public can stay here about 7.17 hours.Conclusion It can guarantee our nuclear medicine staff’s ionization radiation level in the permitted dosage range thoroughly if take appropriate protective measures after 131I ablative therapy, while the ionization radiation level of our department’s environment is relative safety. 【Key words】 Differentiated thyroid carcinoma； Radioactive iodine； Radiation safety 关于服用大剂量131I治疗后病房内环境辐射安全性问题报道罕见［1］。通过收集笔者所在科室应用大剂量131I清甲治疗前后患者病房内环境γ射线的辐射剂量率水平等资料，并进行全面的分析和研究，对应用大剂量131I治疗后病房内环境辐射安全性，用于指导以后临床工作。