摘要目的 通过分析江苏省农药中毒发病特点,为制定有效的干预措施和防治策略提供科学依据.方法 根据2006至2013年江苏省农药中毒报告卡的数据资料,经EXCEL表格整理、审核后,使用SPSS软件,对数据资料进行流行病学统计分析.结果 江苏省2006至2013年共报告农药中毒32 672例,以非生产性中毒(生活性中毒)为主(72.78％);中毒高发年龄为35～54岁(40.85％)以及65岁以上(15.69％);女性(58.22％)多于男性(41.78％).生产性中毒男性(50.90％)多于女性,非生产性中毒女性多于男性(38.37％).中毒高发于7-9月份;生产性中毒病死率(0.47％)低于非生产性中毒(7.10％).全省13个地市均有农药中毒报告,苏北地区多于苏南地区.导致中毒的农药主要为有机磷酸酯类杀虫剂(65.58％),包括甲胺磷、敌敌畏、乐果、氧乐果、对硫磷等.病死率最高的农药为百草枯(10.06％),其次主要有毒鼠强(10.00％)、乐果或氧乐果(7.85％)、甲胺磷(7.79％)、杀虫双(7.68％)等.结论 农药中毒不容忽视,应重点加强对有机磷酸酯类杀虫剂、杀鼠剂、除草剂等高毒、剧毒农药在生产和使用过程中的管控,关注对妇女、儿童、老人等弱势群体的保护.

abstractsObjective To investigate the characteristics of pesticide poisoning in Jiangsu Province,China,and to provide a scientific basis for developing effective intervention measures and prevention strategies.Methods The data from report cards of pesticide poisoning in Jiangsu Province from 2006 to 2013 were arranged using EXCEL tables,and assessed.Statistical analysis was applied to the epidemiological data using SPSS.Results From 2006 to 2013,a total of 32672 cases of pesticide poisoning were reported in Jiangsu Province.Most of the cases were caused by non-occupational poisoning (life poisoning) (72.78％).A majority of patients with pesticide poisoning were 35-54 years old (40.85％) or older than 65 years (15.69％).There were more female patients (58.22％) than male patients (41.78％).Among patients with occupational poisoning,male patients (50.90％) were more than female patients.Among patients with non-occupational poisoning,female patients were more than male patients (38.37％).Pesticide poisoning mainly occurred from July to September.The case-fatality rate of occupational poisoning (0.47％) was lower than that of non-occupational poisoning (7.10％).All 13 cities in Jiangsu Province reported cases of pesticide poisoning.There were more cases in the northern regions than in the southern regions.Pesticide poisoning was mainly caused by organophosphorus insecticides including methamidophos,dichlorvos,dimethoate,omethoate,and parathion,which accounted for 65.58％ of all cases.Paraquat had the highest case-fatality rate (10.06％) among all pesticides,followed by tetramine (10.00％),dimethoate or omethoate (7.85％),methamidophos (7.79％),and dimehypo (7.68％).Conclusion Pesticide poisoning cannot be ignored.The management and control should be improved in production and usage of highly toxic pesticides including organophosphorus insecticides,rodenticides,and herbicides.More attention should be paid to the protection of vulnerable groups including women,children,and the elderly.