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目的分析淄博市有机磷农药中毒流行特点。方法收集2007—2013年淄博市202例有机磷农药中毒患者资料,分析其流行病学特征。结果 202例有机磷农药中毒病例中,非生产性农药中毒187例(占92.6%),生产性农药中毒15例(占7.4%);病死率为22.3%(45/202)。中毒农药种类以敌敌畏中毒为主,占71.8%(145/202)。中毒病例以女性、青壮年多见。中毒时间主要集中在第二和第三季度。中毒原因以自服性中毒为主,占81.7%(165/202);自服性中毒病例病死率高于非自服性中毒病例(25.5%vs 8.1%,P<0.05)。结论淄博市有机磷农药中毒以女性、青壮年和非生产性农药中毒为主,中毒情况严重,应采取有效的措施加强农药使用安全宣传教育和监督管理。
Objective To analyze the epidemic characteristics of organophosphorus pesticide poisoning in Zibo City. Methods The data of 202 cases of organophosphate pesticide poisoning in Zibo City from 2007 to 2013 were collected and their epidemiological characteristics were analyzed. Results Among the 202 organophosphorus pesticide poisoning cases, 187 (92.6%) were unproductive pesticide poisonings, 15 (7.4%) were productive pesticide poisonings, and the case fatality rate was 22.3% (45/202). Dichlorvos poisoning poisoning pesticide types, accounting for 71.8% (145/202). Cases of poisoning in women, more common in young adults. Poisoning time mainly concentrated in the second and third quarter. The main cause of poisoning was spontaneous poisoning, accounting for 81.7% (165/202). The case fatality rate of spontaneous poisoning was higher than that of non-spontaneous poisoning (25.5% vs 8.1%, P <0.05). Conclusion The organophosphorus pesticide poisoning in Zibo City is mainly female, young adults and unproductive pesticide poisoning, and the poisoning is serious. Effective measures should be taken to strengthen the publicity, education and supervision of pesticide use safety.