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目的了解影响农药中毒患者病情转归的主要因素,为开展农药中毒防治提供科学依据。方法对宣城市职业病危害因素监测网络直报系统2006年6月1日至2010年12月31日上报的农药中毒病例进行分析。结果宣城市共报告农药中毒病例2 331,死亡133例,病死率5.7%。单因素分析中,较高年龄组、非生产性中毒类型、杀虫剂及除草剂类农药、初次收诊医院为乡镇级医院、较早监测年份的农药中毒病例病死率较高;多因素分析,影响农药中毒患者病情转归的主要因素为年龄、中毒类型、中毒(监测)年份、初次收诊医院级别。结论改善农药中毒患者的转归和预后,应从影响农药中毒病例转归的主要因素着手。
Objective To understand the main factors influencing the prognosis of patients with pesticide poisoning and provide a scientific basis for the prevention and control of pesticide poisoning. Methods The cases of pesticide poisoning reported by Xuancheng Monitoring Network Direct Reporting System for Occupational Disease Hazard Factors from June 1, 2006 to December 31, 2010 were analyzed. Results Xuancheng reported a total of 2 331 cases of pesticide poisoning, 133 deaths and a case fatality rate of 5.7%. In the univariate analysis, the higher age groups, non-productive types of poisoning, insecticides and herbicide pesticides were the first hospitals to be township-level hospitals, with a higher case-fatality rate of pesticide poisoning in the earlier monitoring years. Multivariate analysis The main factors affecting the prognosis of patients with pesticide poisoning were age, type of poisoning, poisoning (monitoring) year and initial admission to hospital level. Conclusion To improve the outcome and prognosis of patients with pesticide poisoning, we should start with the main factors that affect the outcome of pesticide poisoning cases.