2010年—2014年兰州市综合医院急性农药中毒的现况分析

Investigation on acute pesticide poisoning at 4 comprehensive hospitals in 2010-2014 of Lanzhou

目的：对兰州市4所三甲综合医院进行急性农药中毒调查,为疾病防控提供理论依据。方法：采用回顾性分析,对收治的897例急性农药中毒病例进行分析。结果：近年来收住的急性农药中毒病例数呈上升趋势,无季节区分。女性患者居多,以36~55岁年龄组人群、农民、低收入家庭、学历较低者发病率较高。毒物以有机磷农药为主,百草枯呈上升趋势;多数患者来自于基层医院的转诊;病情分级为中重度,死亡率高于全国平均水平;治疗方案以常规治疗和血液净化为主。结论：针对急性农药中毒的特征,可加强对重点人群健康管理并提高基层医院的诊疗水平,以此来减少急性农药中毒的发病率和病死率。

Objective： To investigate epidemiological survey of acute pesticide poisoning at 4 comprehensive hospitals in Lanzhou,and provide theoretical basis for disease control and prevention. Methods：To use a retrospective study and analyse 897 cases of acute pesticide poisoning. Results：In recent years, the increasing trend of acute pesticide poisoning cases has been on, no distinction between seasons. Female patients, 36-55 years old age-groups, farmers, low-income and education lower people are higher incidence of the disease. Organophosphorus pesticide is main poison, but Paraquat is increasing. Most of the patients came from the primary hospitals. The main of disease is moderate and severe. Mortality is higher than the national average. Main treatment is routine therapy and blood purification treatment. Conclusion：According to the epidemiological characteristics of acute pesticide poisoning, it could strengthen health management of key crowd and enhance diagnosis and treatment level of primary hospital in order to reduce the morbidity and mortality of acute pesticide poisoning.