论文部分内容阅读
目的分析廊坊市2006—2013年急性农药中毒发病特点、发生规律及危害程度,为急性农药中毒防控提供基础数据支持。方法对廊坊市2006年7月1日—2013年6月30日职业病网络报告的670例急性农药中毒病例进行汇总,分析生产性和非生产性中毒病例的发病年龄、性别、季节、中毒农药种类等特点及危害程度。结果 2006—2013年全市共报告急性农药中毒670例,男性285例,女性385例;死亡48例,病死率7.16%。其中生产性中毒110例,无死亡病例,男女比例为1∶1;非生产性中毒560例,死亡48例,病死率为8.57%,中毒及死亡病例男女比均为1∶1.4。中毒病例年龄集中在15~54岁年龄组,生产性中毒高发于35~44岁年龄组;非生产性中毒高发于15~24岁年龄组。生产性中毒发病季节主要分布于第2、3季度;非生产性中毒各季度都有发病。有机磷杀虫剂是引起急性农药中毒及死亡的主要农药品种,分别占中毒及致死的77.16%和97.06%。结论非生产性农药中毒是急性农药中毒及死亡的主要原因,患者以女性青少年多见,夏秋季是农药中毒的高峰季节,有机磷杀虫剂是农药中毒及死亡的主要农药品种。提示农药中毒具有一定的社会性,应引起职业卫生和公共卫生工作者的高度重视,有关部门应加强对有机磷农药的生产、使用和管理。
Objective To analyze the characteristics, occurrence and damage of acute pesticide poisoning in Langfang from 2006 to 2013 and provide basic data for the prevention and control of acute pesticide poisoning. Methods A total of 670 cases of acute pesticide poisoning reported by Occupational Disease Network from July 1, 2006 to June 30, 2013 in Langfang City were collected and analyzed for the age, sex, season and poisoning of productive and non-productive poisoned cases. Pesticide types And other characteristics and degree of harm. Results A total of 670 cases of acute pesticide poisoning were reported in the city from 2006 to 2013, including 285 males and 385 females; 48 died and the case fatality rate was 7.16%. Including productive poisoning in 110 cases, no deaths, male to female ratio of 1: 1; 560 non-productive poisoning, 48 deaths, the mortality rate was 8.57%, poisoning and deaths were male and female ratio of 1: 1.4. The cases of poisoning were concentrated in the age group of 15-54 years and the productive poisoning occurred in the age group of 35-44 years. The unproductive poisoning occurred in the age group of 15-24 years. The onset of productive poisoning is mainly distributed in the second and third quarters; unproductive poisoning occurs in all quarters. Organophosphorus insecticides are the main pesticide species that cause acute pesticide poisoning and death, accounting for 77.16% and 97.06% of the total respectively. Conclusion Non-productive pesticide poisoning is the main reason of acute pesticide poisoning and death. Patients are more common in female adolescents. Summer and autumn are the peak season of pesticide poisoning. Organophosphorus insecticides are the main pesticide species of pesticide poisoning and death. Prompted pesticide poisoning has a certain social, should cause occupational health and public health workers attach great importance to relevant departments should strengthen the production, use and management of organophosphate pesticides.