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目的了解绵阳市2007—2014年农药中毒情况,为制定有效的干预措施提供参考。方法对2007—2014年中国疾病预防控制信息系统中报告的绵阳市农药中毒病例进行统计分析。结果 12007—2014年绵阳市共报告农药中毒1 832例,其中男性806例,占44.00%;女性1 026例,占56.00%。死亡170例,病死率9.28%。生产性中毒313例,占17.09%;以男性为主。非生产性中毒1 519例,占82.91%;以女性为主。不同性别农药中毒类型的差异有统计学意义(χ2=58.75,P<0.05)。2生产性中毒主要集中在45~64岁,非生产性中毒主要集中在25~54岁,不同年龄农药中毒类型的差异有统计学意义(χ2=189.55,P<0.05)。3生产性中毒主要发生在盐亭县,非生产性中毒主要发生在三台县。4生产性中毒集中发生在7—9月,非生产性中毒全年发生较平均,不同季节农药中毒类型的差异有统计学意义(χ2=280.71,P<0.05)。5中毒农药类型以杀虫剂中的有机磷杀虫剂为主,占47.27%。结论绵阳市农药中毒形势仍较严峻,应加强农药的管理,加大对农药安全使用及防护知识的普及,努力降低农药中毒的发生和死亡。
Objective To understand the situation of pesticide poisoning in Mianyang from 2007 to 2014 and provide references for the formulation of effective interventions. Methods The cases of pesticide poisoning reported by Mianyang City from 2007 to 2014 in China were collected for statistical analysis. Results A total of 1 832 cases of pesticide poisoning were reported in Mianyang City from 12007 to 2014, including 806 males (44.00%) and 1 026 females (56.00%). 170 deaths, the case fatality rate of 9.28%. 313 cases of productive poisoning, accounting for 17.09%; dominated by men. 1 519 cases of unproductive poisoning, accounting for 82.91%; female dominated. There were significant differences in the types of pesticide poisoning by sex (χ2 = 58.75, P <0.05). 2 Productive poisoning mainly concentrated in the 45-64 years old, non-productive poisoning mainly concentrated in the 25-54 years old. The difference of pesticide poisoning types was statistically significant (χ2 = 189.55, P <0.05). 3 productive poisoning occurs mainly in Yanting County, non-productive poisoning occurs mainly in Santai County. 4 Productive poisoning occurred in July-September. Non-productive poisoning occurred more evenly throughout the year. There was a statistically significant difference in the types of pesticide poisoning in different seasons (χ2 = 280.71, P <0.05). 5 types of pesticides to pesticides in the organophosphate insecticides, accounting for 47.27%. Conclusion The situation of pesticide poisoning in Mianyang City is still severe. Management of pesticides should be strengthened, the popularization of safe use of pesticides and protection knowledge should be intensified, and the occurrence and death of pesticide poisoning should be reduced.