引用本文:张振明,蒋东方,刘清华.广西地区急性中毒程度的影响因素研究[J].中国临床新医学,2012,5(2):101-104.
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广西地区急性中毒程度的影响因素研究
张振明,蒋东方,刘清华
530021 南宁,广西区职业病防治研究院(张振明,蒋东方);广西医科大学基础医学院(刘清华)
摘要:
[摘要] 目的 探讨广西地区急性中毒程度的相关影响因素。方法 采用回顾性调查分析方法对2005~2009年6 011例中毒患者的临床资料进行查阅、分类统计及分析。结果 在6 011例中,轻、中、重度中毒分别为2 577例(42.87%)、2 038例(33.90%)和1 396例(23.22%),死亡157例(2.61%)。各类影响因素与病例分布分析表明,发病地区以农村病例数(61.84%)最多,重度中毒率与死亡率(分别为25.88%和3.38%)最高。发病形式以散发性病例数(89.34%)最多,其重度中毒与死亡人数分别占总构成数的96.85%和95.54%。年龄以20~60岁组病例数(68.84%)最多,其重度中毒与死亡人数分别占71.78%和72.61%。中毒原因以意外性、自杀性、误食性中毒的病例数(91.89%)最多,其重度中毒与死亡人数分别占93.76%和92.99%。毒物类别以农药类与化学类的病例数(61.23%)最多,其中农药类的重度中毒与死亡人数分别占60.24%、73.25%。结论 以农村、散发性、20~60岁年龄段和意外性、自杀性、误食性原因与农药类、化学类毒物对发病人数和中毒程度有着突出影响,应为广西地区急性中毒关注的重点。
关键词:  急性中毒  中毒程度  影响因素
DOI:10.3969/j.issn.1674-3806.2012.02.03
分类号:R 595
基金项目:广西壮族自治区卫生厅重点科研课题(编号:重200932)
The study on the related factors influencing the degree of acute poisoning in region of Guangxi
ZHANG Zhen-ming,JIANG Dong-fang,LIU Qing-hua
Guangxi Institute of Occupational Diseases,Nanning 530021,China
Abstract:
[Abstract] Objective To study the related factors influencing the degree of acute poisoning in region of Guangxi.Methods The study was made by consulting medical records and using classification analysis.Results In 6 011 cases,the numbers of light, medium, heavy and death were 2 577,2 038,1 396 and 157 respectively (in order 42.87%,33.90%,23.22%,2.61%).The analysis of all kinds of influencing factors and of the case distribution were made.In the region of a disease, the rural cases (61.84%) were the most,and the severe poisoning and mortality rates (25.88%, 3.38%) the highest.In the form of a disease,the sporadic cases (89.33%) were the most,and the severe poisoning and the death accounting for the number of total constitution respectively 96.85%, 95.54%.In the age group,the cases (68.84%)of the group in 20 to 60 years old were the most,and the severe poisoning and the death rates respectively 71.78%、72.61%.In the poisoning causes,and the case number (91.89%) of the accidental, suicide and mistake-eating was the most,and the severe poisoning and the death rates respectively 93.76%,92.99%.In the poison category,the number of cases (61.23%) of pesticides and chemical class was the most, and the numbers(60.24%,73.25%)of the severe poisoning and the death the most.Conclusion The rural, sporadic, 20 to 60 years of age, accidental, suicide, mistake-eating, pesticide and chemical kind in the factors influencing the numbers of a disease and the poisoning degree were the most prominent.There should become the focus of prevention and control of acute poisoning in the region of Guangxi.
Key words:  Acute poisoning  Poisoning degree  Influencing factor