王蔚茹, 孙湛, 耿兴义. 2007—2016年济南市非职业性一氧化碳中毒事件流行特征分析[J]. 环境卫生学杂志, 2018, 8(2): 130-133. DOI: 10.13421/j.cnki.hjwsxzz.2018.02.010
    引用本文: 王蔚茹, 孙湛, 耿兴义. 2007—2016年济南市非职业性一氧化碳中毒事件流行特征分析[J]. 环境卫生学杂志, 2018, 8(2): 130-133. DOI: 10.13421/j.cnki.hjwsxzz.2018.02.010
    WANG Weiru, SUN Zhan, GENG Xingyi. Analysis on Epidemic Characteristics of Non-occupational Carbon Monoxide Poisoning in Jinan from 2007 to 2016[J]. Journal of Environmental Hygiene, 2018, 8(2): 130-133. DOI: 10.13421/j.cnki.hjwsxzz.2018.02.010
    Citation: WANG Weiru, SUN Zhan, GENG Xingyi. Analysis on Epidemic Characteristics of Non-occupational Carbon Monoxide Poisoning in Jinan from 2007 to 2016[J]. Journal of Environmental Hygiene, 2018, 8(2): 130-133. DOI: 10.13421/j.cnki.hjwsxzz.2018.02.010

    2007—2016年济南市非职业性一氧化碳中毒事件流行特征分析

    Analysis on Epidemic Characteristics of Non-occupational Carbon Monoxide Poisoning in Jinan from 2007 to 2016

    • 摘要:
      目的 分析2007-2016年济南市非职业性一氧化碳(CO)中毒事件资料,掌握其流行病学特点,探讨有针对性的预防控制措施。
      方法 依据《非职业性一氧化碳中毒事件应急预案》开展监测,采用描述性分析方法对资料进行分析,率的比较采用χ2检验。
      结果 2007-2016年济南市共报告非职业性CO中毒事件3 311起,发病4 794例,死亡161人,病死率3.36%。96.22%(3 186/3 311)的中毒事件发生在家庭内,99.88%(3 307/3 311)的非职业性CO中毒事件为未分级事件。非职业性CO中毒事件集中发生在冬季夜晚,高峰为每年11月-3月。发生在街道和乡镇的中毒事件引起的病死率差异无统计学意义(χ2=6.00,P>0.05)。
      结论 为减少事件发生,应改造取暖设施,将炉灶至于居室之外,外接暖气片,或实施集中供暖;在居民家庭内推广安装CO报警器;在冬季燃煤取暖期广泛开展预防非职业性CO中毒宣传教育活动,尤其是在气温达到低谷前的12月。早发现,早抢救可有效降低病死率。

       

      Abstract:
      Objectives This paper analyzed the information on poisoning events of non-occupational carbon monoxide (CO) in Jinan from 2007 to 2016, and knew well its epidemiological characteristics, and explored the targeted and control prevention measures.
      Methods Based on the monitoring of the emergency plan for non-occupational carbon monoxide poisoning, the descriptive analysis method was used to analyze the data, and the chi square test descriptive analysis method was used.
      Results From 2007 to 2016, there were 3 311 cases of non-occupational CO poisoning reported in Jinan, involving 4 794 cases, 161 deaths and 3.36% fatality rate. The poisoning of 96.22% (3 186/3 311) occurred in the family, and 99.88% (3 307/3 311) of the non-occupational CO poisoning incidents were not classified. Non-occupational CO poisoning concentrated occurred in the winter nights, with the peaks of November to March. There was no statistically significant differences in the fatality rate caused by poisoning events in urban streets and towns (χ2=6.00, P>0.05).
      Conclusions To reduce the occurrence of the event, it is necessary to promote the renovation of heating facilities, and to use the stove far away from living room, external heating, or central heating; To promote the installation of CO alarms in residential households; In winter, the prevention of non-occupational CO poisoning is widely used to promote education activities, especially in October before the heating season. Early detection, early rescue can reduce the fatality rate effectively.

       

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