急性一氧化碳中毒患者流行病学分析
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摘要
目的分析急性一氧化碳中毒患者急救流行病学特征,为制定防控一氧化碳中毒策略、合理利用医疗资源等提供参考依据。方法选取2016-04至2018-04石河子市人民医院急诊病区收治的急性一氧化碳中毒患者,收集患者的基本信息,中毒时间等流行病学资料进行统计分析。结果急性一氧化碳中毒患者中、重度共80例,中毒时间分布最高的月份依次是1月、10月、3月,分布最低的月份依次为7月、6月和8月、9月。分布最高时间段依次是22:00～23:59、00:00～01:59和20:00～21:59,分布最低时间段依次为12:00～13:59、14:00～15:59、08:00～09:59。中毒月份的高峰时段为01-08及11-03至次年03-15,高峰时间为22:31及15:49至次日05:12。结论每年11-03至次年03-15、每天的15:49至次日05:12一氧化碳中毒发生较密集,可有针对性地为群众普及安全教育和防范意识,合理配备人力、物力,从而减少患者不必要的痛苦,节省医疗资源。
Objective The objective of this study was to analyze the epidemiological characteristics of patients with acute carbon monoxide poisoning, and to provide references for formulating appropriate prevention and control for carbon monoxide poisoning and effectively utilizing emergency resources. Methods Acute carbon monoxide poisoning patients treated in People's Hospital of Shihezi from April 2016 to April 2018 were selected. The epidemiological characteristics of acute carbon monoxide poisoning patients such as sex,age, time of call-out and distribution of disease spectrum were analyzed. Results The number of patients with acute carbon monoxide poisoning was mainly distributed in January, October and March, and was low in number July, June, August and September in order. The peak periods were 22:00-23:59, 00:00-01:59 and 20:00-21:59, the lowest were 12:00-13:59, 14:00-15:59 and 08:00-09:59. The peak time and date and month were 22:31 and 15:49 to 05:12 in a day and January 8 th and 3 rd November to next March 15 th respectively.Conclusions Carbon monoxide poisoning often happens at 15:49 to 05:12 in a day and January 8 th and 3 rd November to next March 15 th. Therefore, we should popularize safety education and raise the awareness of safety for the masses, reasonably allocate manpower and material resources, so as to reduce unnecessary suffering of patients and save medical resources.
Objective The objective of this study was to analyze the epidemiological characteristics of patients with acute carbon monoxide poisoning, and to provide references for formulating appropriate prevention and control for carbon monoxide poisoning and effectively utilizing emergency resources. Methods Acute carbon monoxide poisoning patients treated in People's Hospital of Shihezi from April 2016 to April 2018 were selected. The epidemiological characteristics of acute carbon monoxide poisoning patients such as sex,age, time of call-out and distribution of disease spectrum were analyzed. Results The number of patients with acute carbon monoxide poisoning was mainly distributed in January, October and March, and was low in number July, June, August and September in order. The peak periods were 22:00-23:59, 00:00-01:59 and 20:00-21:59, the lowest were 12:00-13:59, 14:00-15:59 and 08:00-09:59. The peak time and date and month were 22:31 and 15:49 to 05:12 in a day and January 8 th and 3 rd November to next March 15 th respectively.Conclusions Carbon monoxide poisoning often happens at 15:49 to 05:12 in a day and January 8 th and 3 rd November to next March 15 th. Therefore, we should popularize safety education and raise the awareness of safety for the masses, reasonably allocate manpower and material resources, so as to reduce unnecessary suffering of patients and save medical resources.
引文
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[2]Caron-Cantin M, Abbott M, Brooks-Lim E, et al. Intracoronary thrombus formationfollowing carbon monoxide poisoning[J]. J Forensic Sci, 2017, 59(3):830-832.
[3]杨卜凡,曾宪容,张月薪.急性重度一氧化碳中毒并急性呼吸窘迫综合征1例报告[J].职业卫生与应急救援,2018, 6(1):90-92.
[4]吴江,贾建平,崔丽英,等.神经病学[M]. 3版.北京:人民卫生出版社, 2015:539-543.
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[7]李运明,李刚,杨惠文,等. 2001—2004年成都军区总医院病人入院时间分布分析[J].西南国防医药,2005, 15(4):460-461. DOI:10.3969/j.issn.1004-0188.2005.04.069.
[8]朱岁松.圆形分布时间与日期资料的角度转换[J].数理医药学杂志, 2009, 22(2):193-194. DOI:10.3969/j.issn.1004-4337.2009.02.026.
[9]张文增,王霄晔,高永军,等. 2006—2013年度北京市非职业性一氧化碳中毒事件报道[J].现代预防医学,2016, 43(6):997-1004.
[10]洪雅洁,张毅,蒋馥阳. 2013年度大连市非职业性一氧化碳中毒事件情况分析[J].实用预防医学, 2014,21(11):1350-1351. DOI:10.3969/j.issn.1006-3110.2014.011.023.
[11]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.
[12]卫鹏羽,卫霄青,李海燕.居民非职业性一氧化碳中毒的KAP影响因素及健康教育需求的调查研究[J].中国卫生统计, 2018(4):549-552.
[13]徐志森.中—重度急性一氧化碳中毒患者急诊的预后影响因素[J].中外医学研究, 2017, 15(30):38-39.DOI:CNKI:SUN:YJZY.0.2017-30-019.
[14]杜宇,牟奕,刘莉,等.中—重度急性一氧化碳中毒患者急诊预后评估的研究[J].现代预防医学, 2012,39(20):5452-5455.
[15]陈静清,周练兴,易天江,等.高压氧治疗时机对一氧化碳中毒预后观察[J].中国社区医师, 2015, 31(1):31-32. DOI:10.3969/j.issn.1007-614x.2015.1.18.
[16]Mukhopadhyay S, Hirsch A, Etienne S, et al. Surveillance of carbon monoxide-related incidents-Implications for prevention of related illnesses and injuries, 2005-2014[J].Am J Emerg Med, 2018, 36(10):1837-1844. DOI:10.1016/j.ajem.2018.02.011.
[17]高春锦,葛环,赵立明,等.一氧化碳中毒临床治疗指南(一)[J].中华航海医学与高气压医学杂志, 2012(2):127-128. DOI:10.3760/cma.j.issn.1009-6906.2012.05.020.
[18]Harduar-Morano L, Watkins S. Review of unintentional nonfire-related carbon monoxide poisoning morbidity and mortality in Florida, 1999-2007[J]. Public Health Rep, 2011, 126(2):240-250. DOI:10.1177/003335491112600215.
[2]Caron-Cantin M, Abbott M, Brooks-Lim E, et al. Intracoronary thrombus formationfollowing carbon monoxide poisoning[J]. J Forensic Sci, 2017, 59(3):830-832.
[3]杨卜凡,曾宪容,张月薪.急性重度一氧化碳中毒并急性呼吸窘迫综合征1例报告[J].职业卫生与应急救援,2018, 6(1):90-92.
[4]吴江,贾建平,崔丽英,等.神经病学[M]. 3版.北京:人民卫生出版社, 2015:539-543.
[5]郭祖超.医用数理统计方法[M]. 3版.北京:人民卫生出版社, 1988:122-140.
[6]王庆昌,李欣.圆形分布分析的EXCEL实现[J].中国卫生统计, 2006, 23(5):448-449. DOI:10.3969/j.issn.1002-3674.2006.05.022.
[7]李运明,李刚,杨惠文,等. 2001—2004年成都军区总医院病人入院时间分布分析[J].西南国防医药,2005, 15(4):460-461. DOI:10.3969/j.issn.1004-0188.2005.04.069.
[8]朱岁松.圆形分布时间与日期资料的角度转换[J].数理医药学杂志, 2009, 22(2):193-194. DOI:10.3969/j.issn.1004-4337.2009.02.026.
[9]张文增,王霄晔,高永军,等. 2006—2013年度北京市非职业性一氧化碳中毒事件报道[J].现代预防医学,2016, 43(6):997-1004.
[10]洪雅洁,张毅,蒋馥阳. 2013年度大连市非职业性一氧化碳中毒事件情况分析[J].实用预防医学, 2014,21(11):1350-1351. DOI:10.3969/j.issn.1006-3110.2014.011.023.
[11]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.
[12]卫鹏羽,卫霄青,李海燕.居民非职业性一氧化碳中毒的KAP影响因素及健康教育需求的调查研究[J].中国卫生统计, 2018(4):549-552.
[13]徐志森.中—重度急性一氧化碳中毒患者急诊的预后影响因素[J].中外医学研究, 2017, 15(30):38-39.DOI:CNKI:SUN:YJZY.0.2017-30-019.
[14]杜宇,牟奕,刘莉,等.中—重度急性一氧化碳中毒患者急诊预后评估的研究[J].现代预防医学, 2012,39(20):5452-5455.
[15]陈静清,周练兴,易天江,等.高压氧治疗时机对一氧化碳中毒预后观察[J].中国社区医师, 2015, 31(1):31-32. DOI:10.3969/j.issn.1007-614x.2015.1.18.
[16]Mukhopadhyay S, Hirsch A, Etienne S, et al. Surveillance of carbon monoxide-related incidents-Implications for prevention of related illnesses and injuries, 2005-2014[J].Am J Emerg Med, 2018, 36(10):1837-1844. DOI:10.1016/j.ajem.2018.02.011.
[17]高春锦,葛环,赵立明,等.一氧化碳中毒临床治疗指南(一)[J].中华航海医学与高气压医学杂志, 2012(2):127-128. DOI:10.3760/cma.j.issn.1009-6906.2012.05.020.
[18]Harduar-Morano L, Watkins S. Review of unintentional nonfire-related carbon monoxide poisoning morbidity and mortality in Florida, 1999-2007[J]. Public Health Rep, 2011, 126(2):240-250. DOI:10.1177/003335491112600215.