首页|2020至2022年津冀地区4695例急性毒物中毒

2020至2022年津冀地区4695例急性毒物中毒

An analysis of 4695 acute poisoning cases in Tianjin-Heibei from 2020-2022

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目的 研究分析2020至2022年津冀地区4 695例急性毒物中毒的规律,为相关患者的救治和中毒防范提供参考.方法 于2023年11月,收集2020年1月1日至2022年12月31日津冀地区多中心4 695例毒物中毒患者于天津青果科技有限公司毒物鉴定中心分析结果及临床资料作为研究对象,分析研究对象的性别、年龄、毒物中毒类型、季节、中毒途径等情况,并进行统计学分析.结果 研究对象中男女比为1∶1.16(2 173/2 522);毒物中毒中抗抑郁精神类药物和苯二氮卓类药物最多,分别为1 550、1 274例(分别占33.0%、27.1%).百草枯中毒逐年减少,敌草快、草甘膦和草胺磷等低毒性低毒类除草剂中毒逐年增多(x2=179.47,P<0.01).中毒患者二季度月达到高峰期,四季度则相对较少.结论 针对毒物中毒高发年龄、季节和人群应采取相关的干预措施,建立健全必要的毒物中毒防范措施,健全镇静类药品管理和用药制度,加强农药管理和保管储存.
Objective To study and analyze the epidemiological regularity of acute poisoning in Tianjin-Hebei region from 2020 to 2022,and to provide reference for the treatment and prevention of related patients.Methods In December 2023,the analysis results and clinical data of 4695 patients with drug poisoning from January 2020 to December 2022 in multiple centers of Tianjin-Hebei region were collected as research objects.Gender,age,type of drug poisoning,season and poisoning route of the research objects were analyzed,and statistical analysis was conducted as well.Results The sex ratio of men and women was 1:1.16(2173/2522).The poisoning of antidepressants and benzodiazepines were the most common drug poisonings,accounting for 1550 and 1274 cases respectively(33%,27.1%).Paraquat poisoning has decreased year by year,while the poisonings of herbicides with low toxicity such as diquat,glyphosate and cremart have increased.The number of cases reached a peak during May to August which was the poisoning season,while was relatively fewer during October to December.Conclusion Effective intervention measures should be taken according to the age of high incidence of poisoning,different seasons and populations.Essential drug poisoning prevention measures should be established and improved.The systems of sedative drug management and use should be established,and pesticide management and storage need to be strengthened.

PoisoningDepressive disorderDrugOrganophosphorusHerbicide

陈姿如、赵永斌、杜书明、孙中吉

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中国人民武装警察部队特色医学中心医学工程科,天津 300162

天津青果科技有限公司司法鉴定中心,天津 300110

中国人民武装警察部队特色医学中心急诊科,天津 300162

中毒 抑郁症 药物 有机磷 除草剂

2024

中华劳动卫生职业病杂志
中华医学会

中华劳动卫生职业病杂志

CSTPCD北大核心
影响因子:0.787
ISSN:1001-9391
年,卷(期):2024.(8)
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