- 期刊
國內心導管與血管攝影X光機問卷調查分析報告
Cardiac Catheterization and Angiography Equipment Questionnaire Analysis Report
摘要
心導管與血管攝影X光機，常用於動態即時檢查，臨床使用率較高且診療時間長，病患及醫護人員接受的輻射劑量較高。為了確保病患與操作人員醫療曝露品質及輻射安全，原能會於107年度起進行兩年期「心導管與血管攝影X光機醫療曝露品質保證作業納法試辦研究」，做為未來納法之重要參考。計畫期間也對302台心導管與血管攝影X光機進行問卷調查，針對所蒐集問卷資料進行分析，以暸解該設備於國內實際使用狀況。問卷內容包含心導管與血管攝影X光機設備基本資料、輻射安全與輻射作業防護、設備特性、臨床檢查種類、設備用途分類、設備品保資料、品保作業執行人員、作業時間與人數、維修保養記錄等項目。調查結果顯示，國內心導管與血管攝影X光機各地分佈為北部42%、中部25%、南部30%、東部3%；80%以上的設備機齡為10年以內，而最大機齡為19年；82.6%設備所使用的影像偵測器為平板偵測器（Flat Panel Detector, F. P.），可見傳統影像增強偵測器（Image Intensifier, I. I.）已逐漸被淘汰；67.5%設備使用雙影像偵測器以進行前後（Anterior posterior）與側面（Lateral）兩個方向診療；執行心導管或血管攝影檢查之輻射工作人員，皆有實施個人劑量監測並穿著輻射防護裝備（如鉛衣、鉛護頸、鉛眼鏡），鉛衣多有進行年度檢測、30%操作人員另佩帶指環劑量計作肢端劑量監控；另、國內多數醫療院所目前未有執行此項設備品保作業，僅少數設備由廠商工程師執行年度整體測試檢查。本次調查透過完整問卷內容設計，蒐集國內心導管與血管攝影X光機臨床使用特性及醫療曝露品保作業等所有相關資訊，再配合國外文獻查證，作為未來訂定該項醫療曝露品質保證作業法規之重要參考依據。
並列摘要
Cardiac catheterization and angiography equipment, which are often used for dynamic interventional examination, have high clinical use rate and long treatment time. Therefore the radiation dose received by patients and clinical staffs is relatively high. In order to ensure the medical exposure quality and radiation safety of patients and workstaffs, the Regulatory Authority (Atomic Energy Council) has carried out the two-year Study on the ＂Cardiac catheterization and angiography equipment quality assurance ＂ since January 2018. During this project, 302 cardiac catheters and angiogram facilities were also surveyed. By analyzing the collected questionnaires we could understand the actual use of the equipment in Republic of China. The contents of the questionnaire include basic information of cardiac catheters and angiogram facilities, radiation safety and radiation protection, equipment characteristics, clinical examination types, equipment's use classification, quality assurance information, operators of quality assurance, operation time and number of operators, maintenance records and so on.