Objective To analyze the states of occupational health examination of radiation⁃exposed workers in public medical institutions of Guangxi Zhuang Autonomous Region (hereinafter referred to as Guangxi) from 2009 to 2018, and to provide basis for the formulation of corresponding occupational health management measures and occupational health protection. Methods The occupational health examination results of 9259 radiation⁃exposed workers from Guangxi public medical institutions from 2009 to 2018 were collected. The states of various physical examination results were compared between radiation⁃exposed workers with different gender, age, working years, and types of works. Results In occupational health examination, radiation⁃exposed workers in Guangxi public medical institutions presented as abnormal abdominal B⁃ultrasound, phacoscotasmus, and relatively high incidence rate of abnormal urinalysis; furthermore, male radiation⁃exposed workers obtained higher abnormality rates of blood pressure, liver function, abdominal B⁃ultrasound, and renal function, whereas lower abnormality rates of blood routine test, urinalysis, and thyroid as compared with females (P<0.05). There were statistically significant differences in the rates of blood pressure abnormality, phacoscotasmus, chromosomal aberrations, liver function abnormality, abdominal B⁃ultrasound abnormality, and renal function abnormality between radiation⁃exposed workers with different ages (P<0.05), and there were statistically significant differences in the rates of blood pressure abnormality, phacoscotasmus, chromosomal aberrations, liver function abnormality, abdominal B⁃ultrasound abnormality, urinalysis abnormality, renal function abnormality, and thyroid abnormality between radiation⁃exposed workers with different working years (P<0.05), therein the rates of blood pressure abnormality, phacoscotasmus, and abdominal B⁃ultrasound increased with increases of age and working years; in addition, there were statistically significant differences in the rates of phacoscotasmus, abdominal B⁃ultrasound abnormality, urinalysis abnormality, and thyroid abnormality between radiation⁃exposed workers with different types of work (P<0.05). Conclusion In the health examination results of radiation⁃exposed workers in Guangxi public medical institutions, the abnormality rates of many indices in males are higher than those in females. The rates of blood pressure abnormality, phacoscotasmus, and abdominal B⁃ultrasound abnormality reveal an upward trend with the increases of age and working years. Relevant departments should carry out targeted protection awareness training and occupational risk assessment for different types of workers, so as to effectively protect the occupational health of radiation⁃exposed workers.