2013—2015年上海市嘉定区非职业性一氧化碳中毒流行病学特征分析  

Epidemiological Characteristics of Non-occupational Carbon Monoxide Poisoning in Jiading District, 2013 to 2015

作　　者：周贵珍[1] 崔志伟[1] 俞太念[1] 袁红[1] Zhou Guizhen;Cui Zhiwei;Yu Tainian;Yuan Hong(Disdrcit Center for Disease Control and Prevention,Shanghai 201899,China)

机构地区：[1]上海市嘉定区疾病预防控制中心,上海201899

出　　处：《健康教育与健康促进》2018年第6期546-548,共3页Health Education and Health Promotion

摘　　要：目的分析2013—2015年上海市嘉定区非职业性一氧化碳(CO)中毒流行病学特征,以便采取针对性的预防控制措施。方法对2013—2015年嘉定区非职业性CO中毒监测报告资料进行统计分析。结果 2013—2015年嘉定区共报告非职业性CO中毒74例,年报告发病率为1.58/105。轻度中毒68例(91.89%);死亡1例,病死率1.35%。每月均有病例报告,但主要集中出现在每年12月至次年3月,共47例,其中因炭火取暖及煤气热水器使用不当所致的各占55.32%及42.55%;6—7月也有中毒病例的聚集,共17例,其中因人工煤气泄漏及炭火烧烤食物所致的各占47.06%及29.41%。中毒发生场所包括居民家庭及餐饮店,分别占总数的85.14%及14.86%。年龄范围为1～65岁,其中0～6岁年龄组发病率高于其他年龄组(P<0.05),16～60岁年龄组女性发病率高于男性(P<0.05)。结论嘉定区非职业性CO中毒每月均有发生,需继续做好病例的临床诊疗工作,并根据非职业性CO中毒发生的流行病学特征开展具有针对性的健康宣教工作,进一步指导居民做好室内通风、安全取暖及正确使用煤气热水器。Objective To analyze the epidemiological characteristics of non-occupational carbon monoxide poisoning in Jiading District from 2013 to 2015 in order to take pertinent preventive and control measures.Methods The monitoring data of non-occupational carbon monoxide poisoning in Jiading District from 2013 to 2015 was analyzed.Results A total of 74 cases of non-occupational carbon monoxide poisoning were reported in Jiading District from 2013 to 2015,with an annual reported incidence of 1.58/105.There were 68 cases of mild poisoning(91.89%)and one case of death(1.35%).Monthly cases were reported,but mainly occurred in December to March of the following year with 47 cases;of which 55.32%and 42.55%were caused by improper use of charcoal fire heating and gas water heater;17 cases of poisoning were also reported from June to July,and of which 47.06%and 29.41%were caused by leakage of artificial gas and roasting food by charcoal fire.Poisoning sites included households and restaurants,accounting for 85.14%and 14.86%of the total,respectively.Age ranged from 1 to 65 years old,and the incidence of 0 to 6 years old group was higher than other age groups(P<0.05),and the incidence of 16 to 60 years old group was higher in women than in men(P<0.05).Conclusions Non-occupational carbon monoxide poisoning may occur every month in Jiading District.It is necessary to continue to do a good job in clinical diagnosis and treatment of cases,and carry out targeted health education according to the epidemiological characteristics of non-occupational carbon monoxide poisoning,so as to further guide residents to do a good job in indoor ventilation,safe heating and correct use of gas water heater.

关 键 词：一氧化碳中毒 非职业性 流行病学特征 

分 类 号：R595.1[医药卫生—内科学]