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目的了解安徽省宣城市农村地区百草枯中毒的流行病学特征及对农村居民健康的影响,为实施干预措施提供依据。方法对宣城市2011-2015年百草枯中毒监测数据进行流行病学分析,并采用去死因期望寿命方法评估百草枯中毒对农村居民健康的影响。结果宣城市农村地区2011-2015年共报告百草枯中毒病例357例,报告发病率4.21/10万,89.08%的病例因故意服用、5.88%的病例因误服(用)百草枯引起。百草枯中毒报告发病率及占农药中毒的比例均逐年上升;男女性别比为1∶1.08,发病率分别为4.00/10万和4.43/10万;除<1岁组外,其他年龄组均有发病,65岁开始显著增高;各月份均有病例报告。2011-2015年,宣城市农村地区因百草枯中毒所造成的期望寿命损失0.03~0.07岁,期望寿命损失率0.04%~0.09%。结论百草枯中毒对宣城市农村人口的健康影响较大,近年来逐年加重。应加强对百草枯中毒的干预。
Objective To understand the epidemiological characteristics of paraquat poisoning in rural areas of Xuancheng, Anhui Province and its impact on the health of rural residents, and to provide basis for the implementation of intervention measures. Methods Epidemiological analysis of paraquat poisoning monitoring data in Xuancheng from 2011 to 2015 was conducted, and the effect of paraquat poisoning on the health of rural residents was evaluated by the life expectancy at death. Results A total of 357 cases of paraquat poisoning were reported in rural areas of Xuancheng from 2011 to 2015, with a reported incidence of 4.21 / 100000. 89.08% of cases were deliberately taken and 5.88% of cases were caused by paraquat. The incidence of paraquat poisoning and the proportion of pesticide poisoning all increased year by year. The sex ratio of male to female was 1: 1.08, the incidence rates were 4.00 / 100000 and 4.43 / 100000 respectively. Except <1 year old group, other age groups had Incidence, significant increase at age 65; case reports for each month. From 2011 to 2015, the expected life loss caused by paraquat poisoning in rural areas of Xuancheng City was 0.03 to 0.07 years and the expected loss of life expectancy was 0.04% ~ 0.09%. Conclusion Paraquat poisoning has a great impact on the health of rural population in Xuancheng City and has been increasing year by year in recent years. Should strengthen the paraquat poisoning intervention.