178例一氧化碳中毒患者院前急救流行病学分析
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摘要
目的通过分析石河子市一氧化碳中毒患者院前急救流行病学特征,为制定一氧化碳中毒患者院前急救策略提供参考。方法通过石河子市120调度指挥中心系统数据库收集2015-10至2018-09一氧化碳中毒患者就诊的基本信息,对一氧化碳中毒患者院前急救的性别、年龄、出诊时间等流行病学资料进行统计分析。结果 178例一氧化碳中毒患者院前急救出诊中,男女比例为1.51∶1,41～50岁患者45人,占25.28%;每日出诊时间无高峰分布,但出诊月份多集中在1月、3月、10月和12月,5～8月出诊频次低;圆形分布显示高峰时日和时段分别为01-07和10-17至次年03-30。结论一氧化碳中毒患者以男性和41～50岁患者为主,每年的10-17至次年03-30较密集,此时段应加强院前急救力量,加强医护人员相关知识和技能培训,结合多方媒体力量进行宣传,并最终降低一氧化碳中毒率。
Objective The objective of this study was to analyze the epidemiological characteristics of patients with carbon monoxide poisoning in Shihezi, a city in Xinjiang, and to provide reference for pre-hospital first aid strategies. Methods The general information of patients with carbon monoxide poisoning collected from 120 emergency dispatch center of Shihezi from October 2015 to September 2018 were selected and their sex, age, clinic time and other data were statistically analyzed. Results Among 178 cases of carbon monoxide poisoning, the male-female ratio was 1.51:1, patients aged 41 to 50 accounted for the most(25.28%); Although there was no peak time for emergency visits, the visits were mainly distributed in March, October, December and January and were low in number from May to August. The distribution shows the peak time and period were 7th January and October 17th to next March 30th respectively. Conclusions Carbon monoxide poisoning is common in male and aged 41 to 50, and often happens from mid-October to the end of March. It is suggested that pre-hospital emergency services be strengthened, knowledge and skills of medical staffs be enhanced, and media publicity be encouraged, with a view to reducing carbon monoxide poisoning incidents.
Objective The objective of this study was to analyze the epidemiological characteristics of patients with carbon monoxide poisoning in Shihezi, a city in Xinjiang, and to provide reference for pre-hospital first aid strategies. Methods The general information of patients with carbon monoxide poisoning collected from 120 emergency dispatch center of Shihezi from October 2015 to September 2018 were selected and their sex, age, clinic time and other data were statistically analyzed. Results Among 178 cases of carbon monoxide poisoning, the male-female ratio was 1.51:1, patients aged 41 to 50 accounted for the most(25.28%); Although there was no peak time for emergency visits, the visits were mainly distributed in March, October, December and January and were low in number from May to August. The distribution shows the peak time and period were 7th January and October 17th to next March 30th respectively. Conclusions Carbon monoxide poisoning is common in male and aged 41 to 50, and often happens from mid-October to the end of March. It is suggested that pre-hospital emergency services be strengthened, knowledge and skills of medical staffs be enhanced, and media publicity be encouraged, with a view to reducing carbon monoxide poisoning incidents.
引文
[1]孙向田,司瑶冰.非职业性一氧化碳中毒事件成因分析[J].北方环境, 2012(2):195-197. DOI:10.3969/j.issn.1007-0370.2012.02.082.
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[11]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.
[12]李庆中. 68例急性一氧化碳中毒患者院前急救体会[J].人人健康, 2017(10):57-58.
[13]杨玲.急性一氧化碳中毒患者的院前急救[J].职业卫生与应急救援, 2016, 34(2):166-167. DOI:10.3969/j.issn.1673-6567.2013.09.208.
[14]张善民.急性一氧化碳中毒院前院内急救对策分析[J].世界最新医学信息文摘, 2016, 16(62):63-65.DOI:10.3969/j.issn.1671-3141.2016.62.044.
[15]黄如雁. 76例一氧化碳中毒患者应用院前急救的疗效观察[J].中外医学研究, 2017, 15(12):128-129.DOI:10.14033/j.cnki.cfmr.2017.12.071.
[16]郁海艳.预见性护理在急性一氧化碳中毒患者院前急救中的应用[J].齐鲁护理杂志,2014(21):41-43.DOI:10.3969/j.issn.1006-7256.2014.21.018.
[17]郑小凡,范峻峰,江炫光. 277例急性一氧化碳中毒特点分析及早期干预[J].护理研究, 2011, 25(10):905-906. DOI:10.3969/j.issn.1009-6493.2011.10.028.
[18]刘雪玲,丁伟利,闫新,等.影响重度一氧化碳中毒患者预后因素的分析[J].济宁医学院学报, 2000(4):58-59.
[19]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.
[20]Senthilkumaran S, Menezes R G, Meenakshisundaram R, et al. Carbon monoxide poisoning and intracardiac thrombus formation:Additional mechanisms[J]. Hum Exp Toxicol, 2015, 34(3):333-334. DOI:10.1177/0960327114537324.
[2]张文增,王霄晔,高永军,等. 2006—2013年度北京市非职业性CO中毒事件报道[J].现代预防医学,2016, 43(6):997-1004.
[3]许明佳,程薇. 2007—2015年上海市某郊区冬春季非职业性CO中毒事件流行病学特征[J].职业与健康,2016, 32(14):1936-1939.
[4]鲁帅.大连市高新区2014—2016年非职业性CO中毒病例的调查分析[J].中国民康医学, 2017, 29(7):57-58. DOI:10.3969/j.issn.1672-0369.2017.07.028.
[5]张波,桂莉.急危重症护理学[M].北京:人民卫生出版社, 2014:169.
[6]Gozubuyuk A A, Dag H, Kacar A, et al. Epidemiology,pathophysiology, clinical evaluation,and treatment of carbon monoxide poisoning in child, infant, and fetus[J].North Clin Istanb, 2017, 4(1):100-107. DOI:10.14744/nci.2017.49368.
[7]Ryoo S M, Sohn C H, Kim, H J, et al. Intracardia c thrombusformationinducedbycarbonmonoxide poisoning[J]. Hum Exp Toxicol, 2013, 32(11):1193-1196. DOI:10.1177/0960327112472991.
[8]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.
[9]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.
[10]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.
[11]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.
[12]李庆中. 68例急性一氧化碳中毒患者院前急救体会[J].人人健康, 2017(10):57-58.
[13]杨玲.急性一氧化碳中毒患者的院前急救[J].职业卫生与应急救援, 2016, 34(2):166-167. DOI:10.3969/j.issn.1673-6567.2013.09.208.
[14]张善民.急性一氧化碳中毒院前院内急救对策分析[J].世界最新医学信息文摘, 2016, 16(62):63-65.DOI:10.3969/j.issn.1671-3141.2016.62.044.
[15]黄如雁. 76例一氧化碳中毒患者应用院前急救的疗效观察[J].中外医学研究, 2017, 15(12):128-129.DOI:10.14033/j.cnki.cfmr.2017.12.071.
[16]郁海艳.预见性护理在急性一氧化碳中毒患者院前急救中的应用[J].齐鲁护理杂志,2014(21):41-43.DOI:10.3969/j.issn.1006-7256.2014.21.018.
[17]郑小凡,范峻峰,江炫光. 277例急性一氧化碳中毒特点分析及早期干预[J].护理研究, 2011, 25(10):905-906. DOI:10.3969/j.issn.1009-6493.2011.10.028.
[18]刘雪玲,丁伟利,闫新,等.影响重度一氧化碳中毒患者预后因素的分析[J].济宁医学院学报, 2000(4):58-59.
[19]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.
[20]Senthilkumaran S, Menezes R G, Meenakshisundaram R, et al. Carbon monoxide poisoning and intracardiac thrombus formation:Additional mechanisms[J]. Hum Exp Toxicol, 2015, 34(3):333-334. DOI:10.1177/0960327114537324.