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[2006年至2011年绍兴市急性农药中毒的特征与趋势]

[The characteristics and trends of acute pesticide poisoning of Shaoxing in 2006 to 2011].

作者信息

Jiang Guo-qin, Lian Ling-jun, Wang Chun-hui, Li Ming, Wang Ji-gang, Pan Nan-yan, Wang Sha-sha

机构信息

Center for Disease Control and Prerention of Shaoxing, Shaoxing, Zhejiang Province 312071, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2013 Jul;31(7):511-3.

Abstract

OBJECTIVE

To describe the epidemiological characteristics of acute pesticide poisoning in Shaoxing, China during 2006-2011 and to provide a reference for the prevention and control of pesticide poisoning.

METHODS

The data on pesticide poisoning in Shaoxing during 2006-2011 were obtained from the China Information System for Disease Control and Prevention and were then analyzed.

RESULTS

A total of 2024 cases of acute pesticide poisoning were reported in Shaoxing during 2006-2011, and 44 cases were missed, accounting for 2.1% (44/2068) of all cases. Among the 2024 cases, 119 (5.9%) died; the fatality rates of productive poisoning and unproductive poisoning were 1.0% (3/289) and 6.7% (116/1735), respectively. The reported cases included 1038 (51.3%) females and 986 (48.7%) males, and there were no significant differences in the ratio between male and female cases of acute pesticide poisoning from 2006 to 2011 (χ2 = 9.16, P = 0.10). The 2024 cases had a mean age of 47.0±18.7 years; the male cases had a significantly higher mean age than the female cases (50.7±19.0 vs 43.4±17.8 years, t = 9.01, P < 0.001). Among the 2024 cases, 289 (14.3%) suffered productive poisoning, and 1735 (85.7%) suffered unproductive poisoning. In the 986 male cases, 219 (22.2%) suffered productive poisoning; in the 1038 female cases, 968 (93.3%) suffered unproductive poisoning. The pesticides that caused poisoning included insecticide (86.7%, 1754/2024), herbicide (5.1%, 104/2024), rodenticide (3.6%, 72/2024), and bactericide, mixed preparation, biochemical pesticides, and other four categories of pesticides (4.6%, 94/2024); of the 1754 cases caused by insecticide, 1455 (83.0%) were attributed to organophosphorus insecticide.

CONCLUSION

The incidence of unproductive acute pesticide poisoning is high in Shaoxing, and it mainly affects females. Most cases of acute pesticide poisoning are aged 30∼60 years. Insecticide is the main cause of poisoning. It is necessary to enhance health knowledge popularization and safety management of pesticides.

摘要

目的

描述2006 - 2011年中国绍兴市急性农药中毒的流行病学特征,为农药中毒的预防与控制提供参考。

方法

获取2006 - 2011年绍兴市农药中毒数据,来自中国疾病预防控制信息系统,然后进行分析。

结果

2006 - 2011年绍兴市共报告急性农药中毒2024例,漏报44例,占全部病例的2.1%(44/2068)。2024例中,119例(5.9%)死亡;生产性中毒和非生产性中毒的病死率分别为1.0%(3/289)和6.7%(116/1735)。报告病例中女性1038例(51.3%),男性986例(48.7%),2006至2011年急性农药中毒病例的男女比例差异无统计学意义(χ2 = 9.16,P = 0.10)。2024例患者平均年龄为47.0±18.7岁;男性患者平均年龄显著高于女性患者(50.7±19.0岁对43.4±17.8岁,t = 9.01,P < 0.001)。2024例中,289例(14.3%)为生产性中毒,1735例(85.7%)为非生产性中毒。986例男性病例中,219例(22.2%)为生产性中毒;1038例女性病例中,968例(93.3%)为非生产性中毒。引起中毒的农药包括杀虫剂(86.7%,1754/2024)、除草剂(5.1%,104/2024)、杀鼠剂(3.6%,72/2024)以及杀菌剂、混合制剂、生物化学农药和其他四类农药(4.6%,94/2024);在1754例由杀虫剂引起的病例中,1455例(83.0%)归因于有机磷杀虫剂。

结论

绍兴市非生产性急性农药中毒发生率高,且主要影响女性。急性农药中毒病例大多年龄在30至60岁。杀虫剂是中毒的主要原因。有必要加强农药健康知识普及和安全管理。

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