摘要
目的分析上海市浦东新区2015—2018年非职业性一氧化碳(CO)中毒病例的流行病学特征,探索中毒的危险因素,为做好预防非职业性CO中毒工作提供依据。方法收集2015—2018年上海市浦东新区各级医疗系统报告的所有非职业性CO中毒病例信息,对病例开展流行病学调查,收集病例性别、年龄、中毒地点、时间以及中毒原因等信息,进行描述性分析。结果该区共报告239起非职业性CO中毒,病例403例,男女比为1∶1.52;以20~40岁年龄段居多(49.6%)。80.8%的事件集中发生在第一、四季度;以燃气热水器使用不当(27.5%)、炭火取暖(23.6%)、人为煤气泄漏(22.8%)和炭火饮食(11.4%)为主要中毒原因,由煤气热水器使用不当和炭火取暖导致的病例数与温度呈负相关(P<0.05)。结论非职业性CO中毒冬春季高发,应加强对居民预防中毒和急救知识培训。
Objective To analyze the epidemiological characteristics of non-occupational carbon monoxide(CO)poisoning in Pudong New Area of Shanghai from 2015 to 2018,to explore the risk factors of poisoning,and to provide prevention and control measures of non-occupational CO poisoning.Methods Information on non-occupational CO poisoning cases reported by the medical system at all levels in Shanghai Pudong New Area were collected,epidemiological investigations on cases were conducted,information on case sex,age,location of poisoning,time and causes of poisoning were collected also,then the descriptive analysis was conducted.Results A total of 239 poisoning incidents were reported in this district,403 cases of poisoning,male to female ratio of 1∶1.52;Cases were mostly in the 20-40 age group(49.6%).80.8%of the incidents occurred in the first and fourth season;The improper use of gas water heaters(27.5%),charcoal fire(23.6%),artificial gas leaks(22.8%)and charcoal fire diet(11.4%)were the main causes of poisoning.The number of cases caused by the gas water heater improperly used and charcoal fire was negatively correlated with temperature(P<0.05).Conclusion Non-occupational carbon monoxide poisoning highly occurred in winter and spring,the train on prevention and emergency care for residents should be strengthened.
作者
赵宜静
郑嵘
杨敏娟
马承军
陈智英
ZHAO Yi-jing;ZHENG Rong;YANG Min-juan;MA Cheng-jun;CHEN Zhi-ying(Department of Environment and Occupational Hazard Control,Center for Disease Control and Prevention of Pudong New District,Shanghai 200136,China)
出处
《环境与健康杂志》
CAS
北大核心
2020年第2期152-154,共3页
Journal of Environment and Health
关键词
非职业性一氧化碳中毒
流行病学特征
气象因素
Non-occupational carbon monoxide poisoning
Epidemiological characteristics
Meteorological factors