2014-2018年湖北省襄阳市燃煤污染型砷中毒监测结果分析  

Analysis of monitoring results of coal-burning-borne arsenic poisoning in Xiangyang City,Hubei Province from 2014 to 2018

作　　者：邵正功 周斌 程猛 龚红英[3] Shao Zhenggong;Zhou Bin;Cheng Meng;Gong Hongying(College of Grammar and Economics,Wuhan University of Science and Technology,Wuhan 430081,China;Xiangyang City Center for Disease Control and Prevention,Xiangyang 441000,China;Department of Neurology,Hubei University of Arts and Science Affiliated Hospital,Xiangyang Central Hospital,Xiangyang 441021,China)

机构地区：[1]武汉科技大学文法与经济学院,430081 [2]襄阳市疾病预防控制中心,湖北襄阳441000 [3]襄阳市中心医院湖北文理学院附属医院神经内科,441021

出　　处：《中华地方病学杂志》2020年第8期580-583,共4页Chinese Journal of Endemiology

摘　　要：目的分析2014-2018年湖北省襄阳市燃煤污染型砷中毒(简称燃煤型砷中毒)监测结果。方法2014-2018年,按照《湖北省燃煤污染型地方性砷中毒监测方案》,每年选取襄阳市内5个村作为监测点。每年每个监测点,采用多点选样混匀后四分法采集8户家庭煤样,检测煤砷含量;采集10名成人(男女各半)尿样,检测尿砷含量;普查居民燃煤型砷中毒病情。结果2014-2018年,煤砷含量比较差异有统计学意义(F=21.572,P<0.05),其中2018年煤砷含量显著低于其余各年份(P均<0.05);成人尿砷含量比较差异无统计学意义(χ2=1.647,P>0.05)。5年间共检出燃煤型砷中毒可疑病例266例、轻度736例、中度633例、重度18例,各年份检出率比较差异无统计学意义(χ2=1.094,P>0.05)。结论2014-2018年襄阳市燃煤型砷中毒检出率较为稳定,高砷煤管理初见成效,还需进一步加强病情监测、能源多元化改造以及居民健康教育工作,以进一步完善燃煤型砷中毒的预防管理机制。Objective To analyze the monitoring results of coal-burning-borne arsenic poisoning in Xiangyang City,Hubei Province from 2014 to 2018.Methods In 2014-2018,according to"the Monitoring Plan for Coal-burning-borne Endemic Arsenic Poisoning in Hubei Province",five villages in Xiangyang City were selected as monitoring sites every year.Coal samples from 8 households were collected by four-point method after multi-point sampling and mixing in each site every year,coal arsenic content was detected.Urine samples of 10 adults(half male and half female)were collected to detect the arsenic content in urine.The disease condition of residents with coal-burning-borne arsenic poisoning was surveyed.Results From 2014 to 2018,there was a significant difference in coal arsenic content(F=21.572,P<0.05),and the coal arsenic content in 2018 was significantly lower than those in other years(P<0.05);there was no significant difference in arsenic content in adult urine(χ2=1.647,P>0.05).During the past five years,266 suspected cases,736 mild cases,633 moderate cases and 18 severe cases were detected.There was no significant difference in the detection rates of arsenic poisoning among different years(χ2=1.094,P>0.05).Conclusions The detection rate of coal-burning-borne arsenic poisoning in Xiangyang City from 2014 to 2018 is relatively stable,and the management of high arsenic coal has achieved initial results.It is necessary to further strengthen disease monitoring,energy diversification transformation and health education of residents,so as to further improve the prevention and management mechanism of coal-burning-borne arsenic poisoning.

关 键 词：砷中毒 煤 监测 防治管理 

分 类 号：R599[医药卫生—内科学]