2016—2019年天津市蓟州区非职业性ACOP患者流行病学分析  

Epidemiological analysis of non-occupational carbon monoxide poisoning patients in Jizhou District,Tianjin City from 2016 to 2019

作　　者：康伟 张虎 柴艳芬[2] KANGWei;ZHANGHu;CHAIYan-fen(DepartmentofEmergency,People′sHospitalofJizhouDistrict,Tianjin City,Tianjin 301900,China;Department of Emergency Medicine,General Hospital,Tianjin Medical University,Tianjin300052,China)

机构地区：[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

出　　处：《天津医科大学学报》2021年第2期176-179,共4页Journal of Tianjin Medical University

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2241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1449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。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 2241 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 1449 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 diff

关 键 词：非职业性 一氧化碳中毒 急性中毒 流行病学 

分 类 号：R595.1[医药卫生—内科学]