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徐州市2005年至2017年农药中毒的流行病学特征

[Epidemiological characteristics of pesticide poisoning in Xuzhou city from 2005 to 2017].

作者信息

Wang N, Wang B S, Tian Z G, Shen H, Zhao Y, Luo X H, Chen L, Pan L P, Zhu B L

机构信息

School of Public health of Southeast University, Nanjing 210009, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Dec 20;36(12):926-929. doi: 10.3760/cma.j.issn.1001-9391.2018.12.013.

Abstract

To understand the characteristics and causes of pesticide poisoning in Xuzhou city, and provide basis for formulating prevention and control measures. The cases of pesticide poisoning in Xuzhou City from 2005 to 2017 were collected from "Pesticide Poisoning Report Card" . The data were analyzed and assessed by EpiData. The SPSS 22.0 software was used for statistical analysis. During the thirteen years, there were a total of 8092 cases of pesticide poisoning, among which, the number of occupational pesticide poisoning was 1 408, accounting for 17.4% of the total number of cases, 14 patients died, the case fatality rate was 0.1%. There were 2, 992 cases of male poisoning, accounting for 36.97% of the total number of cases, and 5, 100 cases of female poisoning, accounting for 63.03%. There were 6684 non-productive pesticide poisonings, accounting for 82.6% of the total number of cases; 387 deaths occurred, and the mortality rate was 5.8%. Among non-productive poisonings, the incidence of oral pesticide poisoning was 84.3%, and the incidence of accidental poisoning by pesticides was 15.7%. Organophosphorus pesticides poisoning cases accounted for the majority of oral pesticide poisoning cases. The overall incidence of pesticide poisoning showed a downward trend. The age of non-productive pesticide poisoning cases was mainly 15-44 years old, and the number of cases of poisoning were 4 029 cases (60.28%) . With the increase of age, the mortality rate of poisoning cases was higher, especially for those over 60 years old who died of oral pesticide poisoning (40.1%) . The peak of pesticide poisoning began to increase in the second quarter and reached its peak in the third quarter. Although the cases of pesticide poisoning reported in Xuzhou City have been declining in recent years, the situation is still severe. The proportion of oral pesticide suicide accounts for a large proportion, and the mortality rate of elderly and female is relatively high, and the government should pay more attention. Workers should conduct safety education and psychological counseling to improve the knowledge and consciousness of safe use of pesticides.

摘要

为了解徐州市农药中毒的特点及原因,为制定防控措施提供依据。收集徐州市2005年至2017年的农药中毒病例资料,来源于《农药中毒报告卡》。采用EpiData进行数据录入与审核,运用SPSS 22.0软件进行统计分析。13年间,共报告农药中毒病例8092例,其中职业性农药中毒1408例,占总病例数的17.4%,死亡14例,病死率为0.1%。男性中毒2992例,占总病例数的36.97%;女性中毒5100例,占总病例数的63.03%。非生产性农药中毒6684例,占总病例数的82.6%;死亡387例,死亡率为5.8%。在非生产性中毒中,经口农药中毒发生率为84.3%,农药意外中毒发生率为15.7%。经口农药中毒病例中有机磷农药中毒病例占多数。农药中毒总体发生率呈下降趋势。非生产性农药中毒病例年龄主要集中在15~44岁,共4029例(60.28%)。随着年龄的增加,中毒病例死亡率较高,尤其是60岁以上经口农药中毒死亡者占40.1%。农药中毒高峰从第二季度开始上升,第三季度达到高峰。徐州市近年来报告的农药中毒病例虽呈下降趋势,但形势依然严峻。经口农药自杀所占比例较大,老年女性死亡率相对较高,应引起政府重视。应加强对劳动者的安全教育和心理疏导,提高安全使用农药知识和意识。

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