广西地区急性中毒程度的影响因素研究

目的探讨广西地区急性中毒程度的相关影响因素。方法采用回顾性调查分析方法对2005～2009年6011例中毒患者的临床资料进行查阅、分类统计及分析。结果在6011例中,轻、中、重度中毒分别为2577例(42.87%)、2038例(33.90%)和1396例(23.22%),死亡157例(2.61%)。各类影响因素与病例分布分析表明,发病地区以农村病例数(61.84%)最多,重度中毒率与死亡率(分别为25.88%和3.38%)最高。发病形式以散发性病例数(89.34%)最多,其重度中毒与死亡人数分别占总构成数的96.85%和95.54%。年龄以20～60岁组病例数(68.84%)最多,其重度中毒与死亡人数分别占71.78%和72.61%。中毒原因以意外性、自杀性、误食性中毒的病例数(91.89%)最多,其重度中毒与死亡人数分别占93.76%和92.99%。毒物类别以农药类与化学类的病例数(61.23%)最多,其中农药类的重度中毒与死亡人数分别占60.24%、73.25%。结论以农村、散发性、20～60岁年龄段和意外性、自杀性、误食性原因与农药类、化学类毒物对发病人数和中毒程度有着突出影响,应为广西地区急性中毒关注的重点。

The study on the related factors influencing the degree of acute poisoning in region of Guangxi

Objective To study the related factors influencing the degree of acute poisoning in region of Guangxi.Methods The study was made by consulting medical records and using classification analysis.Results In 6 Oil cases,the numbers of light,medium,heavy and death were 2 577,2 038,1 396 and 157 respectively(in order 42.87%,33.90%,23.22%,2.61%).The analysis of all kinds of influencing factors and of the case distribution were made.In the region of a disease,the rural cases(61.84%) were the most,and the severe poisoning and mortality rates(25.88%,3.38%) the highest.In the form of a disease,the sporadic cases(89.33%) were the most,and the severe poisoning and the death accounting for the number of total constitution respectively 96.85%,95.54%.In the age group,the cases(68.84%) of the group in 20 to 60 years old were the most,and the severe poisoning and the death rates respectively 71.78%^72.61%.In the poisoning causes,and the case number(91.89%) of the accidental, suicide and mistake-eating was the most,and the severe poisoning and the death rates respectively 93.76%, 92.99%.In the poison category,the number of cases(61.23%) of pesticides and chemical class was the most,and the numbers(60.24%,73.25%)of the severe poisoning and the death the most.Conclusion The rural,sporadic, 20 to 60 years of age,accidental,suicide,mistake-eating,pesticide and chemical kind in the factors influencing the numbers of a disease and the poisoning degree were the most prominent.There should become the focus of prevention and control of acute poisoning in the region of Guangxi.