[Improved Protective Equipment for NICU Portable Radiography].

Nihon Hoshasen Gijutsu Gakkai zasshi Pub Date : 2024-02-20 Epub Date: 2023-11-06 DOI:10.6009/jjrt.2024-1416
Mei Takeya, Rei Takagi, Akinori Yamamoto, Mitsuyuki Tozawa, Tsutomu Inaoka, Hitoshi Terada
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Abstract

We have been developing protective equipment for portable radiography in neonatal intensive care units because the portable radiography's X-ray tube is in close proximity to the head of the nurse who is assisting the patient. Although our initial protective-equipment design was highly effective, there were some concerns that it obstructed the view of the patient and was difficult to handle. To overcome this problem, we have developed two new types of protective device: a narrow-type 0.13 mmPb device, 17 cm long and 45 cm wide (weight 200 g); and a wide type with a wider core material, 45 cm long and 25 cm wide (weight 300 g), both of which can be hung from the collimator cover of mobile X-ray equipment. The measured protective effectiveness was 80.6% at head height for the wide type and 76.8% for the narrow type. A survey of nurses regarding the new protective devices revealed no significant differences between the two types in terms of visibility and whether the devices would be an obstacle when assisting patients. The nurses preferred the wider type, which offered better protection. Radiological technologists also liked that both types were easy to handle because the irradiation field could be adjusted even after the device was fitted. Both types of the new protective device are thus expected to be useful in clinical practice in terms of their high protective effect and improved ease of handling.

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[新生儿重症监护室便携式射线照相防护设备的改进]。
我们一直在为新生儿重症监护室的便携式射线照相开发防护设备,因为便携式射线照相的X射线管离协助患者的护士长很近。尽管我们最初的防护设备设计非常有效,但也有人担心它会遮挡患者的视线,难以处理。为了克服这个问题,我们开发了两种新型保护装置:窄型0.13 mmPb装置,17 厘米长,45 cm宽(重量200 g) ;以及具有较宽芯材的宽型,45 厘米长,25 cm宽(重量300 g) ,两者都可以挂在移动X射线设备的准直器盖上。宽型和窄型的保护效果分别为80.6%和76.8%。一项针对护士的关于新型防护设备的调查显示,这两种防护设备在可见性以及在帮助患者时是否会成为障碍方面没有显著差异。护士们更喜欢更宽的类型,这样可以提供更好的保护。放射技术专家也喜欢这两种类型都很容易处理,因为即使在安装设备后,照射场也可以调整。因此,这两种类型的新型保护装置在临床实践中都是有用的,因为它们具有高保护效果和改进的易操作性。
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