某综合医院急性农药中毒患者的流行病学特征调查

发布时间：2018-05-07 06:33

本文选题：农药中毒 + 流行病学　；参考：《现代预防医学》2016年07期

【摘要】：目的分析沧州市人民医院急诊科收治的急性农药中毒患者的流行病学特点,探讨其发病规律及防治对策。方法以2008年10月至2015年9月沧州市人民医院收治的1 394例急性农药中毒患者为研究对象,进行流行病学分析,了解急性农药中毒特征。结果 1 394例患者,平均年龄(42.19±7.46)岁,女性多于男性(55.31%/44.69%)。中毒类型以非生产性农药中毒为主(1 133例,81.28%),男女之比0.80∶1,20~49岁年龄组占73.17%,发病以第三季度最多(42.98%),病死率为16.15%;生产性农药中毒(261例,18.72%)男女之比为2.26∶1,40岁以上年龄组占87.74%,其有明显的季节分布,第三季度占76.25%,病死率为0。有机磷农药中毒占中毒总数的36.87%,其次是百草枯中毒(26.11%)。百草枯中毒平均住院日最长,为(11.81±10.13)天,且预后最差。结论农药中毒严重威胁人民的健康,控制有机磷、百草枯可显著降低本地区农药中毒的发病率和病死率。医务工作者应提高自身诊治水平,做好应急预案。
[Abstract]:Objective to analyze the epidemiological characteristics of acute pesticide poisoning patients admitted in the emergency department of Cangzhou people's Hospital, and to explore its incidence law and prevention and treatment measures. Methods from October 2008 to September 2015, 1 394 patients with acute pesticide poisoning admitted to Cangzhou people's Hospital were studied. The epidemiological analysis was carried out to understand the characteristics of acute pesticide poisoning. Results the average age of 1,394 patients was 42.19 卤7.46 years old. The average age of women was more than that of men (55.31%, 44.69%). The main type of poisoning was non-productive pesticide poisoning in 1 133 cases, the ratio of male to female was 0.80: 1 / 20 / 49 years old group (73.17%). The most common incidence in the third quarter was 42.98%, the mortality rate was 16.15; the ratio of male and female was 2.26: 112 years old and above 40 years old. The proportion of group B was 87.74, and its seasonal distribution was obvious. The third quarter accounted for 76. 25 per cent, with a case fatality rate of 0. 5 per cent. Organophosphorus pesticide poisoning accounted for 36.87% of total poisoning, followed by paraquat poisoning 26.11%. The average hospitalization time of paraquat poisoning was 11.81 卤10.13 days, and the prognosis was the worst. Conclusion Pesticide poisoning is a serious threat to the health of the people. Controlling organophosphorus and paraquat can significantly reduce the morbidity and mortality of pesticide poisoning in this area. Medical workers should improve their level of diagnosis and treatment and make contingency plans.
【作者单位】：沧州市人民医院急诊科;
【分类号】：R595.4

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