摘要
目的分析广东省2016—2020年化学品中毒住院病例的流行病学特征。方法通过“广东省卫生健康统计信息网络直报系统”收集广东省2016—2020年化学品中毒住院病例资料,进行描述性分析;以集中度法分析中毒住院病例数量的季节性特征,以加权后的全年比率平均法计算季节指数(SI),以全局和局部空间自相关分析对地区中毒趋势的空间相关性。结果广东省2016—2020年化学品中毒住院病例为54656例,住院病例数量总体呈下降趋势;男女性别比为0.90∶1.00;一氧化碳中毒、醇类中毒和有机溶剂中毒住院率居前3位;主要中毒人群为学生及儿童、农民、工人和无业人员,分别占31.74%、18.53%、13.91%和10.39%;74.37%的中毒病例治愈或好转出院,病死率为0.48%。住院率在0~<5岁年龄组居前3位的依次为有机溶剂、金属和一氧化碳中毒;一氧化碳中毒住院率在≥5岁的各年龄组均居于第1位。年平均住院率居前3位的地区为韶关市(25.14/10万)、清远市(17.04/10万)和梅州市(16.09/10万);一氧化碳中毒具有很强的季节性(集中度M值为0.77),高发月份为1、2和12月(SI分别为3.60、3.08、2.48)。化学品中毒住院病例呈非随机分布且具有空间相关性(P值均<0.01),在粤北地区13个区县间呈高-高聚集(P值均<0.05)。结论广东省2016—2020年化学品中毒住院病例数量总体呈下降趋势,主要类型为一氧化碳中毒、醇类中毒和有机溶剂中毒;化学品中毒类型在空间分布上呈空间相关性,且存在高-高聚集区。
ObjectiveTo analyze the epidemiological characteristics of hospital admission cases with chemical poisoning in Guangdong Province from 2016 to 2020.Methods Data of hospital admissions for chemical poisoning in Guangdong Province from 2016 to 2020 were collected through Guangdong Province Health Statistics Network Reporting System,and descriptive analysis was conducted.The seasonal characteristics of the number of hospitalized poisoning cases were analyzed by the concentration method,the seasonal index(SI)was calculated by the weighted annual ratio averaging method,and the spatial auto-correlation of regional poisoning trend was analyzed by the global and local spatial autocorrelation.Results From 2016 to2020,the number of hospital admissions for chemical poisoning in Guangdong Province was 54656,showing a general decreasing trend.The sex ratio(male to female)was 0.90∶1.00.The top three types of hospitalization rates were carbon monoxide poisoning,alcohol poisoning and organic solvent poisoning.The main poisoning groups were students and children,farmers,workers and unemployed people,accounting for 31.74%,18.53%,13.91%and 10.39%,respectively.The 74.37%of poisoning cases were cured or improved and discharged,and the case fatality rate was 0.48%.The top three hospitalization rates in age group of 0-<5 years were organic solvent,metal and carbon monoxide poisoning.The hospitalization rate of carbon monoxide poisoning ranked the first among all age groups of≥5 years.The top three regions with the highest average annual hospitalization rate were Shaoguan City(25.14/10~5),Qingyuan City(17.04/10~5)and Meizhou City(16.09/10~5).Carbon monoxide poisoning had a strong seasonality(M=0.77),with high incidence months of January,February and December(SI were 3.60,3.08 and 2.48,respectively).The inpatients with chemical poisoning showed non-random distribution and spatial correlation(all P<0.01),with a high-high clustering among 13 districts and counties in northern Guangdong(all P<0.05).Conclusion The number of hospital admi
作者
肖斌
胡伟
周静
龙泰华
郭建宇
陈嘉斌
孙承业
XIAO Bin;HU Wei;ZHOU Jing;LONG Tai-hua;GUO Jian-yu;CHEN Jia-bin;SUN Cheng-ye(National Institute for Occupational Health and Poison Control,Chinese Center for Disease Control and Prevention,Beijing 100050,China;不详)
出处
《中国职业医学》
CAS
北大核心
2022年第2期165-170,共6页
China Occupational Medicine
基金
中国疾控中心职业卫生所国家级化学中毒救治基地及中毒卫生应急队伍运行(131031109000160007)
广东省职业病防治重点实验室(2017B030314152)。
关键词
化学品
中毒
住院病例
流行病学
特征分析
相关性
Chemical
Poisoning
Hospitalized admissions
Epidemiology
Characteristic analysis
Correlation
