杭州市2006至2013年农药中毒情况分析

Pidemiological analysis of pesticide poisoning in hangzhou during 2006-2013

目的 了解杭州市农药中毒的现状及其分布特征.方法 通过中国疾病预防控制信息报告网络平台,收集2006至2013年杭州市农药中毒报告数据,应用x2检验、Cochran-Armitage趋势检验进行统计分析.结果 2006至2013年杭州市累计报告农药中毒病例6 232例,死亡414例,病死率6.64％,其中非生产性农药中毒病例（5 466例）占农药中毒病例的比例为87.71％.杀虫剂是引起农药中毒的主要毒物;杀虫剂中毒报告病例（5 023例）占农药中毒报告病例80.60％,有机磷农药中毒报告病例（3 893例）占杀虫剂农药中毒报告病例的77.50％.生产性农药中毒男性高于女性（男性∶女性=1∶0.32）,非生产性农药中毒女性高于男性（男性∶女性=1∶1.25）.生产性农药中毒季节性最为明显,第三季度中毒病例最多（67.62％）.结论 杭州市农药中毒主要以非生产性农药中毒为主,引起中毒的农药种类主要为杀虫剂.

Objective The purpose of this current investigation was to describe the distribution characteristics of pesticides poisoning in Hangzhou during 2006-2013.Methods The registration data of pesticide poisoning in Hangzhou during 2006-2013 were collected from health disserve surveillance information system which was part of China information system for disease control and prevention.The statistical analysis method included Pearson Chi-square test and Cochran-Armitage trend test.Results There were totally 6232 cases with pesticide poisoning during 2006-2013,of which 414 cases died.The fatality rate of poisoning patients was 6.64%.The pesticides,especially organophosphorus pesticides,were the main poison that caused poisoning,and patients with pesticide poisoning accounted for 80.60% of all the poisoning patient.There was more female patients than male patients among non-productive pesticide poisoning,but on the contrary among productive pesticide poisoning.The incidence of pesticides poisoning had significant increase in the third season.Conclusions Occupational pesticide poisoning and non-occupational pesticide poisoning had the different distribution character.Non-occupational pesticide poisoning was the chief reason of pesticide poisoning.The pesticides,especially organophosphorus pesticides,were the main poisons threatening the health of people in Hangzhou,and the effective prevention and control measures should be taken immediately.