[972例住院中毒患者特点]。

Q3 Medicine
L Yan, Y Y Wang, Y Peng, W He, J L Tang
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引用次数: 0

摘要

目的:分析重庆市医药医院第一附属医院中毒住院患者的临床特点,为提高区域中毒的预防、控制、诊断和治疗水平提供依据。方法:于2024年1月,利用重庆医学院第一附属医院HIS病案系统,收集我院2018 - 2023年住院中毒患者的临床资料。分析患者的性别、年龄、中毒时间、中毒种类、中毒原因、中毒途径、中毒季节、治疗及预后等资料。结果:共纳入972例患者,其中71.71%(697/972)为中青年,夏季发病率较高。化学中毒占53.61%(521/972),其次为农药中毒和混合中毒。毒素总检出率为58.23%(566/972)。家庭中毒人数逐年增加,职业中毒人数逐年减少,差异有统计学意义(P60岁、故意接触毒素、农药接触、洗胃、血液净化、住院时间对患者预后的影响均有统计学意义(p)。应积极开展健康教育,加强毒素控制,采取科学合理的防治措施和治疗方法,降低中毒的发生率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Characteristics of 972 poisoning inpatients].

Objective: To analyze the clinical characteristics of poisoning inpatients in the first affiliated hospital of chongqing medical and pharmaceutied hospital, and to provide basis for improving the level of prevention, control, diagnosis and treatment of regional poisoning. Methods: In January 2024, using the HIS medical record system of The First Affiliated Hospital of Chongqing Medical and Pharmeceutical College, we collected the clinical data of poisoning inpatients admitted to our hospital from 2018 to 2023. The data of sex, age, time of poisoning, poison species, poisoning cause, poisoning route, season, treatment and prognosis were analyzed. Results: A total of 972 patients were enrolled, among whom 71.71% (697/972) were young and middle-aged adults, with a higher incidence in summer. Chemical poisoning accounted for 53.61% (521/972) , followed by pesticide poisoning and mixed poisoning in the second and third places. The overall detection rate of toxins was 58.23% (566/972) . The number of domestic poisonings increased year by year, while occupational poisonings decreased year by year, with statistically significant differences (P<0.05) . The overall cure and improvement rate was 97.22% (945/972) , and the cure and improvement rate of pesticide poisoning was the lowest at 90.23% (120/133) . Factors such as age >60 years, intentional exposure to toxins, pesticide exposure, gastric lavage, blood purification, and length of hospital stay affected the prognosis of patients (P<0.05) . Conclusion: Health education should be actively promoted, toxin control should be strengthened, scientific and reasonable prevention and control measures as well as treatment methods should be adopted to reduce the incidence and mortality of poisoning.

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中华劳动卫生职业病杂志
中华劳动卫生职业病杂志 Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
9764
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