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[1]康伟,张虎,柴艳芬.2016-2019年天津市蓟州区非职业性ACOP患者流行病学分析[J].天津医科大学学报,2021,27(02):176-179.
 KANG Wei,ZHANG Hu,CHAI Yan-fen.Epidemiological analysis of non-occupational carbon monoxide poisoning patients in Jizhou District,Tianjin City from 2016 to 2019[J].Journal of Tianjin Medical University,2021,27(02):176-179.
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2016-2019年天津市蓟州区非职业性ACOP患者流行病学分析(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
27
期数:
2021年02期
页码:
176-179
栏目:
预防医学
出版日期:
2021-03-15

文章信息/Info

Title:
Epidemiological analysis of non-occupational carbon monoxide poisoning patients in Jizhou District,Tianjin City from 2016 to 2019
文章编号:
1006-8147(2021)02-0176-04
作者:
康伟1张虎1柴艳芬2
(1.天津市蓟州区人民医院急诊科, 天津 301900;2.天津医科大学总医院急诊医学科,天津 300052)
Author(s):
KANG Wei1ZHANG Hu1CHAI Yan-fen2
(1. Department of Emergency,People′s Hospital of Jizhou District,Tianjin City,Tianjin 301900,China;2. Department of Emergency Medicine ,General Hospital,Tianjin Medical University,Tianjin 300052,China)
关键词:
非职业性一氧化碳中毒急性中毒流行病学
Keywords:
non-occupationalcarbon monoxide poisoningacute poisoningepidemiology
分类号:
R595.1
DOI:
-
文献标志码:
A
摘要:
目的:了解天津市蓟州区非职业性急性一氧化碳中毒(ACOP)患者的流行病学特点。方法:回顾性分析2016年1月—2019年12月天津市蓟州区人民医院收治的ACOP患者,根据研究需要设计《非职业性ACOP患者登记表》,由当班医生对每位符合纳入标准的ACOP患者信息填写预先设计的登记表。包括:姓名、性别、年龄、职业、发生时间、发生地点、中毒原因、严重程度、碳氧血红蛋白值、去向与转归等信息并进行统计学分析。结果:4年共收治非职业性ACOP患者2 241例,2016—2019年中毒发生率分别为0.542‰、0.526‰、0.785‰、0.727‰;男性792例(35.34%)、女性1 449例(64.66%),男女比例1:1.83,女性中毒发生率大于男性,平均年龄在(51±18)岁,41~65岁有980例(43.73%)为最多;区域以渔阳镇494例(22.04%)最多;每年11月至次年3月为发病高发期;绝大多数中毒发生在农村及城乡结合部以煤炉燃煤取暖家庭;中毒患者单纯高压氧治疗由61.29%升至88.91%,普通病房治疗由38.06%降至10.46%;年龄与中毒程度的关系显示>65岁组与18~40岁组(P=0.000)及7~17岁组(P=0.004),41~65岁组与18~40岁组(P=0.000)及7~17岁组(P=0.010)差异有统计学意义。Spearman相关分析显示,年龄段与中毒程度呈负相关(r=-0.194,P<0.05)。结论:2016—2019年天津市蓟州区非职业性ACOP患者虽然中毒发生率未降低,但中毒严重程度及住院率明显下降,其中年龄越大,中毒程度越轻。
Abstract:
Objective: To understand the epidemiological characteristics of non-occupational acute carbon monoxide poisoning (ACOP) patients in Jizhou District,Tianjin,and to provide evidence for the prevention and treatment of non-occupational ACOP in northern cities. Methods: Aretrospective analysis of ACOP patients admitted to the People′s Hospital of Jizhou District,Tianjin City from January 2016 to December 2019,a "Registration Form for Non-professional ACOP Patients" was designed according to the needs of the research,and the on-duty doctor made a review of each person who met the inclusion criteria fill in the pre-designed registration form with ACOP patient information. Name,gender,age,occupation,time of occurrence,place of occurrence,cause of poisoning,severity,carboxyhemoglobin value,whereabouts and fate and other information were collected and statistically analyzed. Results: A total of 2 241 non-professional ACOP patients were treated in 4 years. The incidence of poisoning from 2016 to 2019 was 0.542‰,0.526‰,0.785‰,0.727‰;792 were males(35.34%) and 1 449 were females(64.66%),the ratio of male to female was 1:1.83. The incidence of poisoning in females was greater than that in males. The average age was (51±18) years old,and the age range was 1 to 98 years. There were 980 cases (43.73%) between 41 and 65 years old. 494 cases(22.04%) were the most in Yuyangzhen;November to March of the following year was the period with high-incidence;most of the poisoning occurs in rural and urban-rural areas where coal stoves were used to heat households;the patients with poisoning were treated with only 61.29% hyperbaric oxygen increased to 88.91%,and general ward treatment decreased from 38.06% to 10.46%;the relationship between age and degree of poisoning showed that >65 years old group and 18-40 years old group(P=0.000),and 7-17 years old group(P=0.004),there was a statistically significant difference.41-65 years old group and the 18-40 years old group(P=0.000),and the 7-17 years old group(P=0.010),there was a statistically significant difference. Spearman correlation analysis showed that age was negtively correlated with severity of poisoning(r=-0.194,P<0.05). Conclusion: Although the incidence of non-occupational ACOP in Jizhou District,Tianjin City did not decrease from 2016 to 2019,the severity of poisoning and hospitalization rate decrease significantly. The older the age,the less severe the poisoning.

参考文献/References:

[1] Mattiuzzi C,Lippi G. Worldwide epidemiology of carbon monoxide poisoning[J]. Hum Exp Toxicol,2020 ,39(4):387
[2] 胡慧军,孙强.从一氧化碳的生理效应看一氧化碳中毒[J]. 中华医学杂志,2018,98(10):791
[3] 郑全乐,付娜,周顺义,等. 急性一氧化碳中毒迟发性脑病的诊疗进展[J]. 中华神经创伤外科电子杂志,2017,3(1):48
[4] 杨燕芳,胡秀苇. 一氧化碳中毒96例治疗体会[J]. 中国中医急症,2007,16(6):734
[5] 张春生,杨晶,蔡兆国. 北京东北部地区496例急性一氧化碳中毒发生特征分析[J].中华航海医学与高气压医学杂志,2019,26(3):228
[6] 叶珊珊,胡灼君,阮海林,等. 2014—2017年柳州市区非职业性急性一氧化碳中毒患者流行病学特征分析[J]. 中华灾害救援医学,2019,7(7):374
[7] Uysal C,Celik S,Altuntas A D,et al. Carbon monoxide-related deaths in Ankara between 2001 and 2011[J]. Inhal Toxicol,2013,25(2):102
[8] 苏明霞,孙新华,丁素云,等. 山东博山地区2012-2015年非职业性一氧化碳中毒事件的流行病学分析[J]. 国际流行病学传染病学杂志,2017,44(3):212
[9] 赵宜静,杨敏娟,胡昕冬,等. 385例非职业性一氧化碳中毒流行病学特征分析[J]. 中华劳动卫生职业病杂志,2013,31(4):287
[10] Iqbal S,Clower J H,Hernandez S A,et al. A review of disaster-related carbon monoxide poisoning:surveillance,epidemiology,and opportunities for prevention [J]. Am J Public Health,2012,102(10):1957
[11] 陈彬,蔡波. 高压氧在急性一氧化碳中毒患者急救中的临床效果[J]. 中国医学创新,2019,16(10):145
[12] 朱琦,杨越. 老年急性一氧化碳中毒迟发性脑病的临床特征及预后影响因素[J]. 中国老年学杂志,2019,39(19):4676

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备注/Memo

备注/Memo:
作者简介 康伟(1990-),男,医师,硕士在读,研究方向:急诊医学;通信作者:柴艳芬,E-mail:chaiyanfen2012@126.com。
更新日期/Last Update: 2021-03-10