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目的分析农村地区儿童毒鼠强意外中毒的危险因素,为儿童毒鼠强意外中毒的预防和干预提供科学依据。方法采用1∶2病例对照方法,对广西贵港市农村地区1～14岁毒鼠强中毒的92例病例和未发生中毒的对照组184例进行调查。调查内容包括健康教育、家庭因素、儿童自身危险行为和鼠药管理等。采用条件Logistic回归模型分析儿童毒鼠强中毒发生的危险因素。结果多因素条件Logistic回归分析发现常外出玩耍(OR=2.683,95%CI=1.595～4.515)、经常吮手(OR=2.556,95%CI=1.468～4.449)、随意放置鼠药(OR=3.765,95%CI=1.823～7.652)等3个因素是危险因素,而监护频率高(OR=0.344,95%CI=0.182～0.605)、知道中毒预防知识(OR=0.180,95%CI=0.075～0.432)2个因素是保护因素。结论应针对儿童毒鼠强中毒的危险因素制定有效的综合预防干预措施。
Objective To analyze the risk factors of accidental poisoning of tetramine in children in rural areas and provide a scientific basis for the prevention and intervention of poisonous tetramine poisoning in children. Methods A 1: 2 case-control study was conducted to investigate 92 cases of poisoned tetanus toxin poisoning in rural areas of Guigang city in Guangxi province in 184 cases and 184 cases of non-poisoned control group. The survey included health education, family factors, children’s own risk behaviors and rodent management. Logistic regression model was used to analyze the risk factors for the occurrence of severe tetramine poisoning in children. Results Multivariate conditional logistic regression analysis showed that the rats often played outside (OR = 2.683, 95% CI 1.595-4.515), often sucked up (OR = 2.556, 95% CI 1.468-4.449) (OR = 0.344, 95% CI = 0.182-0.605), knowledge of poisoning prevention (OR = 0.180, 95% CI = 0.075 ~ 0.432) Two factors are protective factors. Conclusion An effective and comprehensive preventive intervention should be made according to the risk factors of tetramine poisoning in children.