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[2006 - 2008年中国国家伤害监测系统中毒案例分析]

[Analysis of poisoning cases from Chinese National Injury Surveillance System, 2006 - 2008].

作者信息

Jiang Wei, Wu Chun-mei, Deng Xiao, Duan Lei-lei

机构信息

National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Sep;31(9):1009-12.

Abstract

OBJECTIVE

To study the preventive strategies through analyzing the poisoning cases from the National Injury Surveillance System (NISS), from 2006 to 2008.

METHODS

Data of poisoning cases was descriptively analyzed from Chinese NISS, from 2006 to 2008.

RESULTS

The proportion of poisoning cases to all injuries cases from NISS were 2.57%, 2.48% and 2.52% from 2006 to 2008, which ranked sixth in all the injuries causes. Most people being poisoned had junior middle school education and most of them were agriculture/animal husbandry/fishery/water producers or commercial/service personnel. Most of the poisoning incidents were happened at home, always occurred in leisure time - around 8 PM, every day. The common types of poisoning were alcohol, clinical drugs, pesticide and carbon monoxide. Unintentional injuries were the main causes. Self-harm/suicidal cases in the rural areas were more than in the urban areas, with women more than men. The main type of self-harm/suicide related poisoning cases were through drugs or pesticide. ≥ 65, 15 - 29 and 30 - 44 year-olds were most commonly seen.

CONCLUSION

Alcoholism was the primary type of poisoning injuries which is the highest in young adults (15 - 29 years and 30 - 44 years). It's important to promote civilized drinking habits and limit access to alcohol for youth. Self-harm/suicide had close relationship with clinical drugs and pesticide. The key points to prevent pesticide and clinical drugs poisoning were safe storage of pesticides, universal security of pesticide, and the supervision on drug producing and marketing. Children and the elderly were the high risk people for carbon monoxide poisoning. Monitoring and intervention must be strengthened.

摘要

目的

通过分析2006年至2008年国家伤害监测系统(NISS)中的中毒病例,研究预防策略。

方法

对2006年至2008年中国NISS中的中毒病例数据进行描述性分析。

结果

2006年至2008年,NISS中中毒病例占所有伤害病例的比例分别为2.57%、2.48%和2.52%,在所有伤害原因中排名第六。大多数中毒者具有初中文化程度,其中大部分是从事农业/畜牧业/渔业/水利生产人员或商业/服务人员。大多数中毒事件发生在家中,且多发生在每天晚上8点左右的休闲时间。常见的中毒类型为酒精、临床药物、农药和一氧化碳。意外伤害是主要原因。农村地区的自残/自杀病例多于城市地区,女性多于男性。自残/自杀相关中毒病例的主要类型是通过药物或农药。≥65岁、15 - 29岁和30 - 44岁年龄段最为常见。

结论

酒精中毒是中毒伤害的主要类型,在年轻人(15 - 29岁和30 - 44岁)中发生率最高。促进文明饮酒习惯并限制年轻人获得酒精非常重要。自残/自杀与临床药物和农药密切相关。预防农药和临床药物中毒的关键在于安全储存农药、普及农药安全知识以及加强对药品生产和销售的监管。儿童和老年人是一氧化碳中毒的高危人群,必须加强监测和干预。

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