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[目的]分析杭州市西湖区农药中毒病例的特征,为制定防治对策提供科学依据。[方法]整理2005—2013年杭州市各级医疗机构上报的西湖区农药中毒卡,用SPSS18.0软件进行统计分析。[结果]2005—2013年杭州市西湖区共发生农药中毒139例,其中生产性农药中毒24例,占17.3%,无死亡病例;非生产性农药中毒115例,占82.7%,死亡10例,病死率为8.7%。生产性农药中毒以45~55岁年龄组居多,非生产性农药中毒以35~45岁年龄组居多。生产性农药中毒以男性为主(15例,占62.5%),而非生产性农药中毒以女性为主(70例,占60.9%)。农药中毒季节性比较明显,主要发生在第3季度。致使生产性农药中毒以及非生产性农药中毒的农药均以有机磷类为主,分别占58.3%和61.9%。生产性农药中毒和非生产性农药中毒均以农村地区为主。[结论]杭州市西湖区农药中毒以非生产性农药中毒为主,生产性农药中毒以男性为主,引起中毒的农药以有机磷类为主,必须加强农药相关知识的普及宣教,加强监管,有效防控农药中毒事件的发生。
[Objective] The research aimed to analyze the characteristics of pesticide poisoning cases in Xihu District of Hangzhou City and provide a scientific basis for making prevention and control measures. [Method] The pesticide poisoning cards in Xihu District reported by medical institutions at all levels in Hangzhou from 2005 to 2013 were collected and analyzed by SPSS18.0 software. [Results] A total of 139 cases of pesticide poisoning occurred in Xihu District of Hangzhou City from 2005 to 2013, of which 24 were productive pesticide poisonings, accounting for 17.3%. There were no deaths; 115 were unproductive pesticide poisonings, accounting for 82.7%; 10 were deaths, The case fatality rate was 8.7%. Productive pesticide poisoning in 45 to 55 age group mostly, non-productive pesticide poisoning in 35 to 45 age group mostly. Productive pesticide poisoning is predominantly male (15 cases, 62.5%), while non-productive pesticide poisoning is predominantly female (70 cases, 60.9%). Seasonal pesticide poisoning is more obvious, mainly in the third quarter. The pesticides that cause productive pesticide poisoning and unproductive pesticide poisoning are mainly organic phosphorus, accounting for 58.3% and 61.9% respectively. Productive pesticide poisoning and non-productive pesticide poisoning are mainly in rural areas. [Conclusion] The pesticide poisoning in Xihu District of Hangzhou City was dominated by nonproductive pesticide poisoning. The majority of productive pesticide poisoning was male, and the pesticide poisoning caused by organic phosphorus was dominated by organic phosphorus. It was necessary to strengthen the popularization and education of pesticide related knowledge and strengthen supervision and control. Effective prevention and control of pesticide poisoning.