摘要
目的:探索本地区小儿中毒情况及其相关影响因素。方法:选择2013年1月至2017年12月,本地区3家三级甲等综合医院儿科急诊收治的急性中毒患儿312例和其他疾病患儿314例,分析性别、年龄、居住地、中毒种类及原因等相关信息。结果:2013年至2017年本地区的小儿中毒绝对数呈上升趋势,以3～6岁(49.04%)为主。男童多于女童,男女性别比为1.54:1。农村多于城镇,农村患儿数为城镇的2.67倍。中毒种类以药物类中毒(47.44%)为主,中毒原因主要为误服(52.89%)。回归分析显示,家庭药品管理(OR=0.623,P <0.001)、监护人药物安全意识(OR=0.512,P=0.032)、监护人用药知识(OR=0.673,P <0.001)、监护人对有毒食物识别(OR=0.531,P=0.006)、监护人的居住地区(OR=0.578,P=0.001)和监护人文化程度(OR=0.346,P=0.012),是患儿中毒的影响因素。结论:小儿中毒发生率逐年升高,应针对可控的影响因素进行干预,以避免和减少儿童意外中毒的发生。
Objective:To explore incidence and influence factors of pediatric poisoning in the region.Methods:A total of 312 children with acute poisoning and 314 children with other diseases from January 2013 to December 2017 were selected to analyze the related information of sex,age,residence,types and causes of poisoning.Results:From 2013 to 2017,the absolute number of poisoning children in the region showed an upward trend.The majority were aged 3to 6years(49.04%).the ratio of male to female was 1.54:1,and the number of children in the rural was 2.67 times more than that in the urban.Drug poisoning(47.44%)was the main type,and the drug misusage was the main cause(52.89%).Regression analysis showed that influence factors of pediatric poisoning were including family drug management(OR=0.623,P<0.001),guardian’s drug safety awareness(OR=0.512,P=0.032),guardian’s drug knowledge(OR=0.673,P<0.001),guardian’s identification of toxic food(OR=0.531,P=0.006),guardian’s residence area(OR=0.578,P=0.001),and guardian’s education degree(OR=0.346,P=0.012).Conclusion:The incidence of pediatric poisoning is increasing year by year.It is necessary to take measures against controllable influencing factors in order to avoid or reduce the incidence of accidental pediatric poisoning.
作者
姚良玉
田飞
冯德春
雷云宏
Yao Liangyu;Tian Fei;Feng Dechun;Lei Yunhong(Department of Pediatrics,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)
出处
《巴楚医学》
2018年第4期51-55,共5页
Bachu Medical Journal
关键词
小儿中毒
中毒特征
影响因素
pediatric poisoning
poisoning characteristics
influence factors
