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目的分析2009—2014年湖州市急性农药中毒死亡危险因素,为农药中毒的预防控制提供依据。方法从“中国疾病预防控制信息系统”中导出2009—2014年湖州市急性农药中毒个案资料,对影响中毒死亡的有关因素进行非条件Logsitic回归分析。结果共报告急性农药中毒2 538例,死亡177例,病死率为6.97%;多因素Logsitic回归分析结果显示中毒类型为非生产性农药中毒(OR=16.65,95%CI:6.64~41.13)、年龄50岁~(OR=6.26,95%CI:1.94~20.24)和国家禁(限)用农药(OR=1.43,95%CI:1.03~1.98)为危险因素;首诊医院为县级医院(OR=0.11,95%CI:0.06~0.22)和市级以上医院(OR=0.08,95%CI:0.04~0.16)为保护性因素。结论应加强对禁(限)用农药的监管及其危害的宣传,提高基层医疗单位急性农药中毒的救治能力。
Objective To analyze the risk factors of death from acute pesticide poisoning in Huzhou City from 2009 to 2014 so as to provide basis for the prevention and control of pesticide poisoning. Methods The data of acute pesticide poisoning in Huzhou city from 2009 to 2014 were deduced from Information System of Disease Control and Prevention in China, and the non-conditional Logsitic regression analysis was conducted on the related factors affecting the death of poisoning. Results A total of 2 538 cases of acute pesticide poisoning were reported with a mortality rate of 6.97%. Logistic regression analysis showed that the type of poisoning was unproductive pesticide poisoning (OR = 16.65, 95% CI: 6.64-41.13), age 50 years old (OR = 6.26,95% CI: 1.94-20.24) and national banned (OR = 1.43,95% CI: 1.03-1.98) as the risk factors. The first hospital was a county hospital = 0.11, 95% CI: 0.06 ~ 0.22) and hospitals above municipal level (OR = 0.08, 95% CI: 0.04-0.16) as protective factors. Conclusion It is necessary to strengthen the publicity on the regulation of banned (restricted) pesticides and their harm so as to improve the ability to treat acute pesticide poisoning in primary medical units.