陈佳, 周润坤, 陈杰, 杨丽梅, 兰发强, 王超, 叶清, 胡建华. 2008—2018年泸州市急性农药中毒报告病例分析[J]. 职业卫生与应急救援, 2020, 38(4): 365-368, 372. DOI: 10.16369/j.oher.issn.1007-1326.2020.04.010
引用本文: 陈佳, 周润坤, 陈杰, 杨丽梅, 兰发强, 王超, 叶清, 胡建华. 2008—2018年泸州市急性农药中毒报告病例分析[J]. 职业卫生与应急救援, 2020, 38(4): 365-368, 372. DOI: 10.16369/j.oher.issn.1007-1326.2020.04.010
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CHEN Jia, ZHOU Runkun, CHEN Jie, YANG Limei, LAN Faqiang, WANG Chao, YE Qing, HU Jianhua. Characteristics of reported acute pesticide poisoning cases in Luzhou city from 2008 to 2018[J]. Occupational Health and Emergency Rescue, 2020, 38(4): 365-368, 372. DOI: 10.16369/j.oher.issn.1007-1326.2020.04.010
Citation: CHEN Jia, ZHOU Runkun, CHEN Jie, YANG Limei, LAN Faqiang, WANG Chao, YE Qing, HU Jianhua. Characteristics of reported acute pesticide poisoning cases in Luzhou city from 2008 to 2018[J]. Occupational Health and Emergency Rescue, 2020, 38(4): 365-368, 372. DOI: 10.16369/j.oher.issn.1007-1326.2020.04.010
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2008—2018年泸州市急性农药中毒报告病例分析

Characteristics of reported acute pesticide poisoning cases in Luzhou city from 2008 to 2018

    摘要
  • 摘要:
    目的 了解泸州市急性农药中毒的情况，为采取有效的中毒防控措施，减少农药中毒事件的发生提供依据。
    方法 收集“职业病与职业卫生信息监测系统”中2008—2018年泸州市农药中毒病例报告卡相关数据，纳入生产性中毒（生产性自用、生产性受雇）和非生产性中毒（非生产性自服、非生产性误服引起的中毒）病例，对病例的中毒原因、中毒病例的特点、中毒时间和地区、农药的品种进行分析。
    结果 2008—2018年泸州市共报告农药中毒1 017例，其中生产性中毒占6.78%，非生产性中毒占93.22%，自服659例，是误服289例的2.28倍。生产性和非生产性农药中毒发病率呈逐年增加趋势（P < 0.05）。农药中毒死亡50例，病死率为4.92%，其中非生产性中毒病死率（5.17%）是生产性中毒病死率（1.45%）的3.57倍，差异有统计学意义（P < 0.05）。男性占51.4%，女性占48.6%，但男性生产性农药中毒病例数远多于女性。各年龄组中，60岁以上的老年病例最多，占32.35%，且病死率最高（7.29%）。948例非生产性农药中毒病例中，自服死亡46例，病死率6.98%，误服死亡3例，病死率1.04%，两者差异有统计学意义（P < 0.05）。生产性中毒多发生在7—9月，非生产性中毒多在1—3月。报告中毒病例数居前三的为泸县、古蔺县、合江县。杀虫剂中毒病例最多，占65.68%。
    结论 泸州市农药中毒以非生产性中毒为主，应重点关爱留守老人，对有自杀倾向人员进行心理疏导；加强农药使用、储存等方面的管理，减少农药中毒的发生。

     

    Abstract:
    Objective To understand the situation of acute pesticide poisoning in Luzhou city, and to provide the basis for taking effective prevention and control measures to reduce the occurrence of pesticide poisoning.
    Methods The reported data of pesticide poisoning cases in Luzhou city from 2008 to 2018 was abstracted in the "Occupational disease and occupational health information monitoring system", and the cause of poisoning, the characteristics of poisoning cases, the occurrence time and area, and pesticide varieties were analyzed.
    Results From 2008 to 2018, a total of 1 017 cases of pesticide poisoning were reported in Luzhou city, among which occupational poisoning accounted for 6.78% and non-occupational poisoning accounted for 93.22%. A total of 659 cases were the suicides, 2.28 times than cases taken by accidental ingestion (289 cases). The incidence of pesticide poisoning was increasing year by year(P < 0.05). There were 50 deaths reported and the fatality was 4.92%. The fatality rate of non-occupational poisoning (5.17%) was 3.57 times higher than that of occupational poisoning (1.45%), and the difference was statistically significant (P < 0.05). Male cases accounted for 51.4% and females 48.6%, but the number of occupational poisoning cases among males was much higher than females. The elderly cases over 60 years old accounted for 32.35%, and the fatality rate in this age group was also the highest (7.29%). Among 948 cases of non-occupational pesticide poisoning, 46 died from suicide, with the case fatality rate of 6.98%, and 3 died from accidental ingestion, with the case fatality rate of 1.04%, and the difference was statistically significant (P < 0.05). Occupational poisoning occurred often during July to September, and non-occupational poisoning occurred in January to March. Luxian county, Gulin county and Hejiang County ranked the top three in the number of reported poisoning cases. Insecticides were major chemicals causing poisoning, accounting for 65.68%.
    Conclusion The pesticide poisoning in Luzhou city was mainly non-occupational poisoning. We should focus on caring for the left behind elderly and provide psychological counseling for those with suicidal tendency. The management of pesticide use, storage should be strengthened to reduce the occurrence of pesticide poisoning.

     

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