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预防医学  2018, Vol. 30 Issue (1): 31-34    DOI: 10.19485/j.cnki.issn2096-5087.2018.01.008
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浙江省农药中毒报告病例监测结果分析
方兴林, 周莉芳, 张美辨, 邹华
浙江省疾病预防控制中心,浙江 杭州 310051
Retrospective analysis on pesticide poisoning cases in Zhejiang Province
FANG Xing-lin, ZHOU Li-fang, ZHANG Mei-bian, ZOU Hua
Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China
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摘要 目的 了解浙江省农药中毒的发生规律和特点,为农药中毒防制提供依据。方法 通过职业病与职业卫生信息系统收集浙江省2007—2016年农药中毒报告病例,对中毒患者所在地区、引起中毒的农药类型、中毒时间、性别和年龄分布等进行描述性分析。结果 2007—2016年浙江省共报告农药中毒46 671例,其中生产性农药中毒占14.91%,非生产性农药中毒占85.09%;死亡2 735例,病死率为5.86%;2007—2016年生产性农药中毒病死率未见明显变化趋势(P>0.05),非生产性农药中毒病死率呈逐年下降趋势(P<0.05);非生产性农药中毒病死率为6.73%,高于生产性农药中毒的0.88%(P<0.05)。农药中毒高发于7—9月,共报告16 806例,占报告病例总数的36.01%。报告病例数居前三的地区为杭州、台州和湖州。有机磷类农药中毒病例数最多,占总中毒病例数的56.89%。中毒高发年龄为35~64岁,占51.44%;75岁~年龄组病死率最高(11.44%)。自服农药中毒病例占非生产性农药中毒的77.07%,病死率为8.11%,病死率随着年龄增长呈升高趋势(P<0.05);男性自服农药中毒病死率为9.82%,高于女性的6.59%(P<0.05)。结论 浙江省农药中毒以自服农药中毒为主,老年人群中毒病死率较高。
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方兴林
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张美辨
邹华
关键词 农药中毒生产性非生产性自服农药中毒    
AbstractObjective To explore the regularity and characteristics of pesticide poisoning in Zhejiang Province and to provide scientific basis for pesticide poisoning prevention. Methods The cases of pesticide poisoning in Zhejiang Province from 2007 to 2016 were collected through the occupational diseases and occupational health information monitoring system. The district,types of pesticides,time,gender and age of poisoning were analyzed. Results There were 46 671 cases of pesticide poisoning in Zhejiang Province from 2007 to 2016,14.91% of which were productive exposure poisoning,while 85.09% were non-productive exposure poisoning. There were 2 735 death cases,so the fatality rate was 5.86%. There was no obvious change trend in the mortality rate of productive poisoning(P>0.05),which was 0.88%. The mortality rate of non-productive poisoning was much higher,which was 6.73%(P<0.05),with a decreasing trend in this decade(P<0.05). The pesticide poisoning occurred more from July to September than other months,with a total number of 16 806 cases,which was 36.01% of the 46 671 cases. Hangzhou,Taizhou and Huzhou reported the largest number of cases. The number of organophosphorus pesticide poisoning cases was the highest,accounting for 56.89% of the total poisoning cases. The highest incidence of poisoning was among 35-64 years old ones 51.44% of the cases). The number of death cases in groups older than 75 years was the largest,accounting for 11.44% of the total number of deaths. The cases of suicide poisoning accounted for 77.07% of non-productive pesticides poisoning,and the fatality rate was 8.11%. The mortality rate increased with age(P<0.05). The mortality rate of suicide poisoning in male patients was 9.82%,which was higher than that of female(6.59%)(P<0.05). Conclusion The pesticide poisoning in Zhejiang Province is mainly caused by non-productive self-service poisoning. The mortality rate of pesticide poisoning in the elderly population is high.
Key wordsPesticide poisoning    Productive    Non-productive    Suicide poisoning
收稿日期: 2017-06-26      修回日期: 2017-09-25      出版日期: 2018-01-04
中图分类号:  R139  
基金资助:浙江省卫生高层次创新人才培养工程项目
通信作者: 张美辨,E-mail:mbzhang@cdc.zj.cn   
作者简介: 方兴林,大专,主管技师,主要从事职业卫生工作
引用本文:   
方兴林, 周莉芳, 张美辨, 邹华. 浙江省农药中毒报告病例监测结果分析[J]. 预防医学, 2018, 30(1): 31-34.
FANG Xing-lin, ZHOU Li-fang, ZHANG Mei-bian, ZOU Hua. Retrospective analysis on pesticide poisoning cases in Zhejiang Province. Preventive Medicine, 2018, 30(1): 31-34.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2018.01.008      或      http://www.zjyfyxzz.com/CN/Y2018/V30/I1/31
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