贵州省2015—2020年儿童马桑果中毒事件监测分析

朱姝; 王娅芳; 刘琳; 张黎黎; 田继贵; 杨琪; 周亚娟

doi:10.16835/j.cnki.1000-9817.2022.04.030

贵州省2015—2020年儿童马桑果中毒事件监测分析

doi: 10.16835/j.cnki.1000-9817.2022.04.030

贵州省疾病预防控制中心公共卫生监测评价研究所，贵阳 550000

基金项目:

贵州省疾病预防控制中心人才团队项目 RCJD2105

详细信息

作者简介:
朱姝(1986-)，女，贵州贵阳人，大学本科，主管技师，主要从事食源性疾病防控工作

通讯作者:
周亚娟，E-mail：31011922@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R155.3 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2021-10-14
- 修回日期: 2022-01-25
- 网络出版日期: 2022-04-25
- 刊出日期: 2022-04-25

Poisoning caused by Coriaria sinica maxim among children in Guizhou Province during 2015 to 2020

Institute of public health monitoring and evaluation, Guizhou Provincial Center for Disease Control and Prevention, Guiyang (550000), China

摘要

摘要: 目的分析贵州省2015—2020年马桑果中毒事件发生情况及流行病学特征，为预防马桑果中毒提供科学依据。方法对“食源性疾病暴发监测”系统报告的贵州省2015—2020年的马桑果中毒事件进行汇总统计分析。结果贵州省2015—2020年马桑果中毒事件共报告176起，中毒505人，均为16岁以下儿童，无死亡病例。报告最多的是2020年，报告事件数97起，中毒人数292人；中毒事件报告在马桑果成熟期4—6月，5月报告最多，报告事件数153起，中毒437人；报告数最多的前3位市(州)为毕节市、安顺市和遵义市，报告事件数分别为57，27，27起，中毒人数分别为160，90，73人；中毒主要为农村儿童在野外误采误食；潜伏期中值2 h，临床症状以呕吐(93.66%)、恶心(58.02%)、腹痛为主(38.42%)。结论农村儿童误采误食是马桑果中毒的主要原因。应加强对儿童，特别是农村儿童的宣传教育，以降低马桑果中毒事件的发生。
- 植物中毒 /
- 流行病学研究 /
- 人群监测 /
- 儿童
Abstract: Objective To analyze the occurrence and epidemiological characteristics of acute poisoning caused by Coriaria sinica maxdim in Guizhou Province during 2015 to 2020, and to provide scientific basis for prevention of Coriaria sinica maxim poisoning. Methods A total of 176 cases of Coriaria sinica maxim poisoning were reported in Guizhou Province during 2015 to 2020, with all of the 505 affected were children and adolescents under 16 years old. No death was reported. Poisoning caused by Coriaria sinica maxim was most commonly reported in the year of 2020, with 97 reported incidents and 292 poisonings. Poisoning incidents were most freqently reported in the mature stage of Coriariasinica fruit during April to June, with 153 cases and 437 poisoning cases reported in May. The top three areas reporting Coriaria sinica maxim poisoning included Bijie, Anshun and Zunyi City, with the number of reported eventws being 57, 27, and 27, and poisoned children and adolescents of 160, 90, and 73. Most of the affected children were from rural areas. The median incubation period was 2 hours, and the primary clinical symptoms included vomiting(93.66%), nausea(58.02%) and abdominal pain(38.42%). Conclusion A large number of Coriaria sinica maxim poisoning incidents occur due to unsupervised access to Coriaria sinica maxim among rural children. The publicity and education of children, especially for rural left-behind children, should be strengthened to reduce the incidence of Coriaria sinica maxim poisoning.
- Plant poisoning /
- Epidemiologic studies /
- Population surveillance /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 贵州省2015—2020年马桑果中毒事件年份分布

Table 1. Distribution of Coriariasinica fruit poisoning years in Guizhou Province from 2015 to 2020

年份	事件数(n=176)	病例数(n=505)
2015	1(0.57)	2(0.40)
2016	2(1.14)	8(1.58)
2017	22(12.50)	65(12.87)
2018	22(12.50)	54(10.69)
2019	32(18.18)	84(16.63)
2020	97(55.11)	292(57.82)
注：( )内数字为构成比/%。

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参考文献(15)

[1]	孙长颢. 营养与食品卫生学[M]. 8版. 北京: 人民卫生出版社, 2017: 457. SUN C H. Nutrition and food hygiene[M]. Eighth Edition. Beijing: People's Medical Publishing House, 2017: 457.
[2]	王娅芳, 周亚娟, 何平, 等. 2011—2016年贵州省食源性疾病暴发事件监测情况分析[J]. 现代预防医学, 2018, 45(12): 2262-2266. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201812039.htm WANG Y F, ZHOU Y J, HE P, et al. Analysis of the monitoring situation of foodborne diseases outbreak in Guizhou Province from 2011 to 2016[J]. Mod Prev Med, 2018, 45(12): 2262-2266. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201812039.htm
[3]	丁玲, 周亚娟, 朱姝, 等. 贵州省2015—2019年0~19岁人群植物及毒蘑菇类中毒事件分析[J]. 中国学校卫生, 2021, 42(4): 619-622. doi: 10.16835/j.cnki.1000-9817.2021.04.032 DING L, ZHOU Y J, ZHU S, et al. Analysis of plant and poisonous mushroom poisoning events among people aged 0-19 in Guizhou Province from 2015 to 2019[J]. Chin J Sch Health, 2021, 42(4): 619-622. doi: 10.16835/j.cnki.1000-9817.2021.04.032
[4]	卫生部. 关于印发《食品安全风险监测管理规定(试行)》的通知[A/OL]. (2010-02-11)[2022-03-06]. http://www.gov.cn/gzdt/2010-02/11/content_1533525.htm. Ministry of Health of the PRC. Notice on the issuance of the provisions on Food Safety risk Monitoring and Management (for trial implementation)[A/OL]. (2010-02-11)[2022-03-06]. http://www.gov.cn/gzdt/2010-02/11/content_1533525.htm.
[5]	李颖. 关于预防和误食马桑果中毒的警示[J]. 中国质量万里行, 2019(7): 96. doi: 10.3969/j.issn.1005-149X.2019.07.049 LI Y. Warning on prevention and accidental consumption of Coriaria sinica maxim poisoning[J]. China Quality Miles, 2019(7): 96. doi: 10.3969/j.issn.1005-149X.2019.07.049
[6]	孙承业, 谢立璟. 有毒生物[M]. 北京: 人民卫生出版社, 2013: 328-329. SUN C Y, XIE L J. Toxic creatures[M]. Beijing: People's Medical Publishing House, 2013: 328-329.
[7]	夏丽英. 现代中药毒理学[M]. 天津: 天津科技翻译出版公司, 2005: 92-94. XIA L Y. Modern Chinese medicine toxicology[M]. Tianjin: Tianjin Science and Technology Translation Publishing Company, 2005: 92-94.
[8]	王丽玲. 小儿急性马桑果中毒抢救效果及防治脑血肿等并发症分析[J]. 家有孕宝, 2020, 2(24): 41. WANG L L. A nalysis of rescue effect and prevention and treatment of complications such as cerebral hematoma in children with acute Coriaria sinica maxim poisoning[J]. Family Has Pregnancy Treasure, 2020, 2(24): 41.
[9]	赵敏, 彭静. 儿童急性马桑果中毒32例临床分析[J]. 贵州医药, 2014(12): 1109-1110. doi: 10.3969/j.ISSN.1000-744X.2014.12.023 ZHAO M, PENG J. Clinical analysis of 32 children with acute Coriariasinica fruit poisoning[J]. Guizhou Med J, 2014(12): 1109-1110. doi: 10.3969/j.ISSN.1000-744X.2014.12.023
[10]	刘亚琼, 杜继宇, 余静, 等. 急性重度马桑果中毒3例临床分析[J]. 医学信息, 2017, 30(6): 294-295. doi: 10.3969/j.issn.1006-1959.2017.06.218 LIU Y Q, DU J Y, YU J, et al. Clinical analysis of 3 cases of acute and severe Coriariasinica fruit poisoning[J]. Med Inform, 2017, 30(6): 294-295. doi: 10.3969/j.issn.1006-1959.2017.06.218
[11]	汪庭兰. 小儿马桑果中毒的救治体会[J]. 吉林医学, 2015, 36(6): 1188-1189. doi: 10.3969/j.issn.1004-0412.2015.06.121 WANG T L. Experience in the treatment of infantile Coriariasinica fruit poisoning[J]. Jilin Med J, 2015, 36(6): 1188-1189. doi: 10.3969/j.issn.1004-0412.2015.06.121
[12]	王会礼. 马桑果中毒60例抢救临床体会[J]. 亚太传统医药, 2015, 11(4): 92-93. https://www.cnki.com.cn/Article/CJFDTOTAL-YTCT201504046.htm WANG H L. Clinical experience in rescue of 60 cases of Coriariasinica fruit poisoning[J]. Asia-Pacific Tradit Med, 2015, 11(4): 92-93. https://www.cnki.com.cn/Article/CJFDTOTAL-YTCT201504046.htm
[13]	钟延旭, 赵鹏, 蒋玉艳, 等. 2010—2017年广西有毒动植物中毒事件分析[J]. 现代预防医学, 2019, 46(13): 2351-2354. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201913013.htm ZHONG Y X, ZHAO P, JIANG Y Y, et al. Poisoning incidents of poisonous animals and plants in Guangxi, 2010-2017[J]. Mod Prev Med, 2019, 46(13): 2351-2354. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201913013.htm
[14]	陈文, 兰真, 程刚. 2010—2018年四川省有毒动植物性食源性疾病暴发事件分析[J]. 现代预防医学, 2020, 47(17): 3092-3095, 3132. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202017006.htm CHEN W, LAN Z, CHENG G. Foodborne disease outbreaks of poisonous animals and plants in Sichuan, 2010-2018[J]. Mod Prev Med, 2020, 47(17): 3092-3095. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202017006.htm
[15]	刘志涛, 赵江, 张强, 等. 2012—2017年云南省有毒动植物中毒事件分析[J]. 中国食品卫生杂志, 2018, 30(5): 477-480. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSPZ201805009.htm LIU Z T, ZHAO J, ZHANG Q, et al. The epidemiology of poisonous animal and plant poisoning in Yunnan Province from 2012 to 2017[J]. Chin J Food Hyg, 2018, 30(5): 477-480. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSPZ201805009.htm