武汉市2002至2010年农药中毒报告4713例分析

目的 了解武汉市农药中毒发生的特点及原因,为制定防治对策提供科学依据.方法 收集武汉市2002至2010年农药中毒登记数据,采用SAS 9.1软件进行统计分析.结果 2002至2010年武汉市共发生农药中毒4713例,其中,生产性农药中毒2737例,占58.1％,死亡2例,病死率为0.07％;非生产性农药中毒1976例,占41.9％,死亡159例,病死率为8.05％.引起生产性农药中毒的主要农药类别是杀虫剂1713例,占70.6％,在杀虫剂中主要是有机磷,且以对硫磷、敌敌畏、甲胺磷为主.生产性农药中毒以男性(1884例)为主,占68.8％;而非生产性农药中毒则相反,以女性(1319例)为主,占66.8％.生产性农药中毒的高发年龄为30～59岁(2239例,占81.8％);非生产性农药中毒者的高发年龄为30～44岁和≥70岁组,分别为665例(33.6％)和209例(10.6％).生产性农药中毒高发的地区分布为蔡甸区最高(1016例,占37.1％),其他依次为东西湖区、汉南区和黄陂区.农药中毒发生时间集中在第三季度.生产性农药中毒的原因主要有防护不良、持续作业时间过长及未执行操作规程.非生产性农药中毒的主要原因为服毒自杀.结论 武汉市的生产性农药中毒高发人群以中年男性为主,中毒农药主要为杀虫剂.

Analysis of 4713 cases of Wuhan pesticide poisoning reports of year 2002 to 2010

Objective To provide scientific evidence of making measures for prevention of pesticide poisoning,the investigation on the condition of pesticides poisoning was carried out in Wuhan.Methods Registration data of pesticide poisoning from 2002 to 2010 in Wuhan were collected and statistically analyzed by SAS 9.1.Results During the nine years,there were 4713 cases reported for pesticide poisoning.Among them,the number of occupational poisoning was 2737 (2 cases died),with fatality rate of 0.07％.The number of nonoccupational poisoning was 1976 (159 cases died),and its fatality rate was 8.05％.The incidence of occupational poisoning and non-occupational poisoning accounted for 58.1％ and 41.9％,respectively.Insecticides especially organophosphorus insecticides,such as parathion,dichlorvos,and methamidophos accounted for 70.6％ of the poisoning.Occupational poisoning took place mainly in man,accounting for 68.8％,Non-occupational or life poisoning in contrast mainly occurred in women with a proportion of 66.8％.The majority of the occupational poisoning were 30～59 year-old patients (2239 cases,81.8％).The majority of the non-occupational poisoning were 30～44 year-old patients (665 cases,33.6％) and ≧ 70 years old patients (209 cases,10.6％ ).High incidence of occupational pesticide poisoning,the regional distribution of Caidian( 1016cases,37.1％ ) highest,followed by the Dongxihu,Hannan and Huangpi.The pesticide poisoning mainly occurred from July to September.The occupational poisoning was mainly caused by poor protection,long working hours,and practice not implemented.The non-occupational poisoning was mainly caused by suicide.Conclusions The majority of the occupational poisoning in Wuhan was middle-aged men.The pesticide poisoning was mainlg caused by insecficides.