2022年天津市医疗机构核医学诊疗和放射防护状况调查与分析

Analysis of the basic situation of nuclear medicine diagnosis and treatment in medical institutions in Tianjin in 2022

  • 摘要:
    目的 调查2022年天津市医疗机构核医学诊疗基本情况,分析不同区域的分布特点,了解天津市核医学的发展现状。
    方法 采用问卷普查及现场抽查的方式对2022年天津市不同区域(中心城区、滨海新区和郊区)开展核医学工作的放射诊疗机构的基本情况、核医学设备配置情况、核医学放射工作人员配备情况、核医学放射防护资源配置情况、核医学诊疗频度情况进行了调查。采用独立样本非参数Kruskal-Wallis H 检验比较不同区域核医学设备配置、放射工作人员配备和放射防护资源配置情况的差异。
    结果  2022年天津市共有18家放射诊疗机构开展核医学工作,核医学放射工作人员224人,全市放射诊疗机构共有PET 8台、SPECT 15台、回旋加速器3台。滨海新区百万人口核医学设备数最高,中心城区和郊区次之,分别为2.97、1.03和0.78台/百万人,差异无统计学意义(χ2=3.13,P=0.21)。中心城区和滨海新区百万人口核医学放射工作人员数相当,郊区最低,分别为12.84、12.38和3.12人/百万人,差异无统计学意义(χ2=3.71,P=0.16)。中心城区和滨海新区每家放射诊疗机构配置的放射防护资源数高于郊区,差异无统计学意义(χ2=1.70,P=0.42)。2022年全市放射诊疗机构开展核医学诊断106655人次、核医学治疗10896 人次,合计核医学诊疗频度为 5.03人次/千人口。
    结论 2022年天津市核医学诊疗资源配置不断完善,但中心城区、滨海新区和郊区核医学诊疗资源配置不均衡,需进一步加强核医学诊疗建设。

     

    Abstract:
    Objective  To investigate the basic situation of nuclear medicine diagnosis and treatment in Tianjin, analyze its distribution characteristics, and understand the development of nuclear medicine in Tianjin.
    Methods Questionnaire survey and spot inspection were used to investigate the basic situation of nuclear medicine diagnosis and treatment institutions of Tianjin in 2022, the number of personnel, equipment, protection resources and the frequency of nuclear medicine diagnosis and treatment. The Kruskal-Wallis H test was used to compare the differences in the allocation of nuclear medicine equipment, radiation workers and radiation protective equipment resources in different regions .
    Results In 2022, A total of 18 radiation diagnosis and treatment institutions in Tianjin carried out nuclear medicine work, and 224 radiation workers in nuclear medicine department; There were 8 positron imaging (PET) devices, 15 single photon emission tomography (SPECT) devices, and 3 cyclotrons in total. The number of nuclear medicine equipment per million population in Binhai New Area was the highest, followed by the central city and suburban areas, which were 2.97, 1.03 and 0.78 units per million population, respectively, and the difference was not statistically significant (χ2=3.13, P=0.21). The number of nuclear medicine radiation workers per million population was similar in the central urban area and Binhai New area, and the lowest in suburban area (12.84, 12.38 and 3.12 per million population, respectively), the difference was not statistically significant (χ2=3.71, P=0.16). The radiation protection resources of each radiological diagnosis and treatment institution in the central urban area and Binhai New Area were higher than those in the suburban area, but the difference was not statistically significant (χ2=1.70, P=0.42). In the whole year, 106655 cases of nuclear medicine diagnosis and 10896 cases of nuclear medicine treatment were performed in radiation diagnosis and treatment institutions in the city, with an average frequency of 5.03 cases per 1 000 population.
    Conclusions The development of nuclear medicine diagnosis and treatment resources in Tianjin is rapid, but the allocation of nuclear medicine diagnosis and treatment resources among different regions is not balanced, and it is necessary to further strengthen the construction of nuclear medicine diagnosis and treatment.

     

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