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[1]邵会雨,梁 明,王效增,等.野战方舱内介入治疗时受检者的辐射剂量研究[J].医学研究与战创伤救治(原医学研究生学报),2013,15(01):4-6.
　SHAO Hui-yu,LIANG Ming,WANG Xiao-zeng,et al.Investigation of X-radiation dose to patients in the comprehensive surgical treatment field shelter during interventional therapy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(01):4-6.
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野战方舱内介入治疗时受检者的辐射剂量研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第15卷
期数:
2013年01期
页码:
4-6
栏目:
出版日期:
2013-01-20

文章信息/Info

Title:
Investigation of X-radiation dose to patients in the comprehensive surgical treatment field shelter during interventional therapy
文章编号:
1672-271X(2013)01-0004-03
作者:
邵会雨1; 2; 梁 明1; 王效增1; 姚天明1; 孙景阳1; 王 耿1; 王 猛1; 韩雅玲1
1.110016 辽宁沈阳,沈阳军区总医院心血管内科；2.121001 辽宁锦州,辽宁医学院研究生学院
Author(s):
SHAO Hui-yu1; 2; LIANG Ming1; WANG Xiao-zeng1; YAO Tian-ming1; SUN Jing-yang1; WANG Geng1; WANG Meng1; HAN Ya-ling1.
1.Cardiology Department of the General Hospital of Shenyang Military Command,Shenyang,Liaoning 110016,China;2.Graduate School of Liaoning Medical University,Jinzhou,Liaoning 121001,China
关键词:
野战方舱; 介入治疗; 辐射剂量
Keywords:
field shelter;  interventional therapy;  radiation dose
分类号:
R144.1
DOI:
-
文献标志码:
A
摘要:
目的 了解野战综合手术救治方舱内不同条件下的辐射剂量水平，为受检者健康及安全提供科学依据。方法 用标准体模检测脉冲透视频率分别为4 fps/s、8 fps/s、12 fps/s和透视管电压分别为80 kV、90 kV、100 kV，而其他条件相同时测量透视及摄影时的剂量面积乘积(DAP)和入射皮肤剂量(ESD)的辐射剂量值。结果 当脉冲透视频率分别为4 fps/s、8 fps/s、12 fps/s，DAP透视时的均值依次为(5.86±0.01)μGym2/s、(11.66±0.17)μGym2/s、(13.97±0.05)μGym2/s，ESD透视时的均值依次为(8500.27±23.86)μGy/s、(16 849.30±71.44)μGy/s、(24 630.75±135.20)μGy/s; DAP摄影时的均值依次为(19.63±0.02)μGym2(10帧)、(38.98±0.06)μGym2(10帧)、(44.81±0.06)μGym2(10帧)，ESD摄影时的均值依次为(28 753.70±605.13)μGy(10帧)、(57 451.23±637.47)μGy(10帧)、(81 950.62±523.37)μGy(10帧)。当透视管电压分别为80 kV、90 kV、100 kV，DAP透视时的均值依次为(13.97±0.05)μGym2/s、(18.83±0.10)μGym2/s、(24.49±0.06)μGym2/s，ESD透视时的均值依次为(24 630.75±135.24)μGy/s、(38 847.94±27.63)μGy/s、(51 132.80±158.76)μGy/s；DAP摄影时的均值分别为(44.81±0.06)μGym2(10帧)、(57.09±0.14)μGym2(10帧)、(76.48±0.21)μGym2(10帧)，ESD摄影时的均值依次为(81 950.62±523.37)μGy(10帧)、(117 842.01±636.46)μGy(10帧)、(160 025.91±852.31)μGy(10帧)。各组之间DAP和ESD透视和摄影均值比较均有显著性差异(P<0.01)。结论 脉冲透视频率和管电压越大，辐射剂量越大。因此在保证图像质量的前提下，尽可能降低脉冲透视频率和管电压，并采取有效的防护措施，以降低介入受检者的辐射剂量。
Abstract:
Objective To explore the dose level of patients in the comprehensive surgical treatment field shelter during interventional therapy with different conditions，and provide the basis for the patients health and safety.Methods Measure of DAP and ESD values was carried out with an Alderson phantom for the two types of different impulse frequency (4 fps/s,8 fps/s,12 fps/s) and different perspective voltage (80 kV，90 kV，100 kV) separated into fluoroscopy and digital acquisition.Results The group of different impulse frequency (4 fps/s,8 fps/s,12 fps/s): the fluoroscopy dose values of DAP in this serial measured respectively for 5.86±0.01μGym2/s,11.66±0.17μGym2/s，13.97±0.05 μGym2/s，and ESD was 8500.27±23.86μGy/s,16 849.30±71.44μGy/s,24630.75±135.20μGy/s ; the digital acquisition dose values of DAP was 19.63±0.02 μGym2 (10 frame),38.98±0.06 μGym2 (10 frame),44.81±0.06 μGym2 (10 frame),and ESD was 28 753.70±605.13μGy (10 frame),57 451.23±637.47μGy (10 frame),81 950.62±523.37μGy (10 frame).The group of different Perspective voltage (80 kV,90 kV,100 kV):the fluoroscopy dose values of DAP in this serial measured respectively for 13.97±0.05 μGym2/s,11.66±0.17 μGym2/s,13.97±0.05 μGym2/s,and ESD was 24 630.75±135.24μGy/s,38 847.94±27.63μGy/s,24 630.75±135.20μGy/s; the digital acquisition dose values of DAP was 44.81±0.06 μGym2(10 frame),57.09±0.14 μGym2(10 frame),76.48±0.21 μGym2 (10 frame),and ESD was 81 950.62±523.37μGy(10 frame),117 842.01±636.46μGy (10 frame),160 025.91±852.31μGy(10frame).There were statistical difference of dose DAP and ESD in different groups (P<0.01).Conclusion The higher the impulse frequency and Perspective voltage,the higher the radiation dose.So in order to ensure the quality of image premise.As low as possible to reduce impulse frequency and Perspective voltage,and take effective protective measures to reduce the intervention of the patients' radiation dose.

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备注/Memo

备注/Memo:
全军“十二五”科研重点项目(BWS125006)；全军“十一五”重大专项课题(08Z0001)；辽宁省科技攻关课题(2011225006)
更新日期/Last Update: 2013-01-20