摘要
目的 比较广西城、乡急性中毒特点，为全区急性中毒的救治策略提供数据。方法查阅2005年至2009年广西11个市36家市级医院、12家县级医院及15家乡镇卫生院收治急性中毒患者的病历资料，按中毒人群、中毒地点、中毒过程、中毒程度进行分类分析，并按城、乡分组进行比较。结果农村与城镇急性中毒患者分别为3678例、2153例。农村与城镇中毒患者性别（χ2=5．53，P〈0．05）、年龄（χ2=21．04，P〈0．01）、职业分类（χ2=3156．83，P〈0．01）、中毒地点（χ2=429．26，P〈0．01）、中毒原因（χ2=363．06，P〈0．01）、毒物分类（χ2=1713．12，P〈0．01）、中毒程度（χ2=35．25，P〈0．01）差异均有统计学意义。农村以男性（48．10％比44．91％）、年龄20～60岁（69．39％比67．53％）和〉61岁（11．17％比8．69％）、务农者（74．85％比2．79％），发生存冢中（80．64％比78．07％）、T作场地（11．83％比3．07％）与其他场所（4．08％比2．97％），以职业性（3．10％比1．30％）、误食性（21．85％比20．91％）、他杀性（0．31％比0．28％）、自杀性（39．07％比18．77％），由农药类（60．94％比12．13％）、植物类（7．08％比2．88％）、动物类（7．73％比6．56％）毒物引起重度中毒（25．86％比19．04％）的病例高于城镇，城镇以女性（55．09％比51．90％）、年龄〈19岁（23．78％比19．44％）、无职业（33．35％比13．76％）、读书（17．53％比8．43％）、务工（31．95％比2．69％）、行政事业（10．84％比0．22％）、其他职业（3．53％比0．05％）．发生往昔：饺（8．78％比0．82％）、餐馆（5．48％比1．55％）、娱乐场所（1．63％比1．09％），以意外性（52．23％比31．27％）、医疗性（4.46％比2．56％）、其他（2．04％比1．85％），由化学类（33．19％比8．55％）、医药类（24．31％比9．12％）、其他类（20．92％比6．59％）毒物引起轻、中度中毒（44．87％比41．22％，36．09％比32．92％）的病例高于农村。结论广两地区的急性中毒，在城、乡之间的人群结构、中毒地点与原斟及其毒物类别、中毒程度均有筹别。
Objective To compare the acute-poisoning characteristics between city and rm＇al areas of Cuangxi Province in order to provide clinical data for the formation of treatment strategies of acute poisoning in Guangxi. Methods Data of acute poisoning patients as treated in 36 municipal and 12 county hospitals, and also 15 rural clinics in 11 cities of Cuangxi during 2005 to 2009 were collected and analyzed according to poisoning population, poisoning site, poisoning process, and poisoning degree. Results By analysing 3678 and 2153 cases of acute poisoning patients in rural and urban areas, the gender （X2=5.53, P〈0.05）, age （X2=21.04, P〈0.01 ）, professions （X2：3156.83, P〈 0.01 ）, poisoning site （X2=429.26, P〈0.01 ）, poisoning cause （X2=-363.06, P〈0.01 ）, poison variety （X2： 1713.12, P〈0.01 ）, poisoning degree （~2=35.25, P〈0.01 ） were shown to be significantly different between rm＇al and urban areas. In the rural areas, poisoning occmved predominantly in male （48.10% vs. 44.91% ）, age between 20-60 years （69.39% vs. 67.53% ） and over 61 years old （ I 1.17% vs. 8.69% ）, farmers by nccupati（~n （74.84% vs. 2.79% ）, home （80.64% vs. 78.07% ）, sites of labor （ 11.83% vs. 3.07% ） and other sites （4.08% vs. 2.97% ）, amt the chief ca,lses were professional （3.10% vs. 1.30% ）, taken by mistake （21.85% vs. 20.91% ）, honficide （0.30% vs. 0.28% ）, and suicide （39.07% vs. 18.77%）, am｜ by pesticide （60.94% vs. 12.13%）, plant （7.08% vs. 2.88% ） and animal poisons （ 7.73% vs. 6.56% ）, belonging to severe poisoning （ 25.86% vs. 19.04% ） were higher than those in town. In the town, poisoning occurred predominantly in female （55.09% vs. 51.90% ）, age below 19 years old （23.78% vs. 19.44% ）, unemployed （ 33.35% vs. 13.76% ）, student （ 17.53% vs. 8.43% ）, industrial workers （ 31.95% vs. 2.69% ）, executives （10.84% vs. 0.22% ） and other professional （3.53% vs. 0.05% ）; occurred in schools （8.78% vs. 0.82% ）, restaurants （5.48% vs. 1.55%）, place of entertainment （1.63% vs. 1.09%）, by accidental （52.23% vs. 31.27%）, therapeutic （4.46% vs. 2.56% ）, and other reasons （ 2.04% vs. 1.85% ） ; by chemicals （ 33.19% vs. 8.55% ）, medicines （ 24.31% vs. 9.12% ）, and other types of poison （ 20.92% vs. 6.59% ） ; light and medium degree of poisoning （44.87% vs. 41.22%, 36.09% vs. 32.93% ） were higher than those in rural areas. Conclusion Regarding the acute poisoning in Guangxi, the composition of population, the poisoning sites and causes, the types of poisons, the poisoning degree are distinctly different between urban and nlral areas.
出处
《中国危重病急救医学》
CAS
CSCD
北大核心
2012年第6期352-354,共3页
Chinese Critical Care Medicine
关键词
中毒
急性
中毒特点
城镇
农村
Poisoning, acute
Poisoning characteristlc
City
Rural area
