目的调查上海市医疗机构受检者个人防护用品配置和管理情况,探讨存在的主要问题,提出规范要求。方法选取上海市六个区的545家医疗机构,采用现场查看、查阅原始资料、询问相关人员等方式对医疗机构X射线影像诊断机房的受检者个人防护用品配置情况和维护管理情况进行调查。结果医疗机构受检者个人防护用品的配置率为99.8%;配备的防护用品中防护帽配备率最高(76.9%),其次为防护围脖(64.8%)和全身防护裙(60.5%)。防护用品的产地97.0%为国产。防护用品的使用年限在5年以下的为52.7%。防护用品铅当量以0.35 mm Pb最常见,占80.1%;性腺防护裙铅当量0.5 mm Pb的占28.4%;可调式防护架铅当量0.5 mm Pb的占44.0%。防护用品定期清洁的单位占46.6%,定期消毒的占39.6%,防护用品悬挂或平铺方式存放的占71.7%。结论医疗机构个人防护用品的配置率高,但配置合理性还有欠缺,管理有待加强,建议制订相关规范予以指导。 Objective To investigate the configuration and management of personal protective equipment for subjects in Shanghai medical institutions, discuss the main problems and put forward regulatory requirements. Methods 545 medical institutions in six districts of Shanghai were selected to investigate the personal protective equipment configuration and maintenance management of the X-ray diagnostic equipment room of medical institutions by way of on-site inspection, access to original materials and inquiring of relevant personnel. Results The coverage rate of personal protective equipment for medical institutions was 99.8%. The protective equipment equipped with the highest percentage of protective caps (76.9%) was followed by the protective collar (64.8%) and the general protective skirt (60.5%). The origin of protective equipment 97.0% for domestic. Protective equipment, the useful life of less than 5 years was 52.7%. The lead equivalent of protective articles was the most common at 0.35 mm Pb, accounting for 80.1%; the gonad protective skirt had a lead equivalent of 0.5 mm Pb, accounting for 28.4%; and the lead frame with adjustable leadframe equivalent of 0.5 mm Pb, accounting for 44.0%. Regular cleaning unit of protective equipment accounted for 46.6%, regular disinfection accounted for 39.6%, protective articles hanging or tiling 71.7%. Conclusion The allocation rate of personal protective equipment in medical institutions is high, but the rationality of configuration is still inadequate. The management needs to be strengthened. Suggestions for formulating relevant norms are given for guidance.