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目的回顾性分析3 114例病例的拟除虫菊酯类农药中毒咨询病例特征,为农药管理及临床救治提供参考。方法整理分析中毒咨询热线数据库中拟除虫菊酯类农药病例的相关咨询数据,并借助统计软件SPSS 17.0对数据进行描述性分析。结果夏秋季中毒多发,中毒原因以自杀(51.57%)和意外及误服(28.87%)为主,<18岁儿童和青少年意外及误服占该组人群拟除虫菊酯类中毒的83.46%,不同年龄组中毒原因差异有统计学意义(χ2=4 460.35,P<0.01)。出现颜面部皮肤症状及眼部刺激症状者占总例数的37.4%,胆碱酯酶活性下降病例的比例占3.37%。农药种类以溴氰菊酯及含溴氰菊酯成分者最多(53.89%)。结论拟除虫菊酯类农药的中毒危害仍不容忽视,应进一步加强农药监管,并应强化安全保存理念,增强施用者个人防护意识,减少意外及误服中毒和职业接触中毒的发生。此类农药引起胆碱酯酶活性下降的原因有待进一步探讨。
Objective To retrospectively analyze the characteristics of pyrethroid pesticide poisoning counseling in 3 114 cases, and to provide reference for pesticide management and clinical treatment. Methods The data of pyrethroid pesticide cases in the counseling hotline database were analyzed and analyzed, and the data were descriptively analyzed with SPSS 17.0. Results The main causes of poisoning in summer and autumn were suicide (51.57%) and accidental and unpleasant (28.87%). The children aged 18 and adolescents accidentally and mistakenly consumed 83.46% of the pyrethroid poisoning in this group, Age group poisoning causes were statistically significant (χ2 = 4 460.35, P <0.01). The facial skin and ocular irritation symptoms occurred in 37.4% of the total number of cases, the proportion of cases of decreased cholinesterase activity accounted for 3.37%. Most of the pesticides were deltamethrin and deltamethrin (53.89%). Conclusion The poisoning of pyrethroid insecticides should not be neglected, and the regulation of pesticides should be further strengthened. The concept of safety preservation should be strengthened to enhance the individual protection awareness of applicators and reduce the accidental and accidental poisoning and occupational exposure. The reason why such pesticides cause the decline of cholinesterase activity needs to be further explored.