伊朗哈马丹地区药物中毒流行病学特征及结局:(2015-2019)

S. Afzali, A. Moradi, Hasti Alinaghizadeh
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引用次数: 1

摘要

背景:在大多数国家,药物滥用是一个全球性问题,由药物滥用引起的中毒已涉及急诊科。本文旨在调查伊朗哈马丹省药物中毒病例流行病学模式的变化。方法:在这项为期五年的横断面研究中,我们评估了2015年3月至2019年3月在伊朗西部哈马丹法尔什奇安-西纳医院住院的药物中毒病例的流行病学模式。结果:在此期间,7199名中毒患者转诊到医院,其中1773人因任何药物住院,81%为男性,19%为女性(p<0.001)。男性病例的平均年龄为40.85±16.85,女性病例的平均年纪为42.37±18.36。86.4%的病例生活在城市地区,13.6%的病例居住在农村地区。最常见的药物是鸦片(33%)、美沙酮(22.7%)和甲基苯丙胺(20.9%)。在35.1%的男性病例和45.8%的女性病例中,最常见的毒品分别是鸦片和甲基苯甲酯(p<0.001)。在79.2%的病例中,过量用药和20.5%的病例中自杀未遂是最常见的使用原因。大多数病例存活,只有1.7%的病例死亡。结论:尽管在本省进行研究时,传统药物中毒仍然是最常见的中毒原因,但合成药物中毒正在上升。
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Epidemiologic Characteristics and Outcomes of Drugs Poisoning in the Hamadan, Iran: (2015-2019))
Background: Drug abuse is a global problem in most countries and poisoning caused by them has involved the emergency department (ED).  This paper aims to investigate the changes in the epidemiological pattern of poisoned cases due to drugs in Hamadan province of Iran. Methods: In this five year cross - sectional study, we assessed the epidemiologic pattern of poisoned cases due to drugs hospitalized in Farshchian - Sina Hospital of Hamadan, west Iran from March 2015 to March 2019. Results: During this period, 7199 poisoned patients referred to hospital and 1773 of them  hospitalized due to any kind of drugs.81% were male and 19% were female (p <0.001). The mean age in male cases was 40.85 ± 16.85 and in female cases was 42.37 ± 18.36. 86.4% of the cases lived in urban areas and 13.6% of them lived in rural areas. The most common drugs were opium (33%), methadone (22.7%) and methamphetamine (20.9%). In 35.1% male cases and in 45.8% female cases the most common drugs were opium and methamphetamine, respectively (p <0.001). In 79.2% of cases, overdose and in 20.5% of them, suicide attempt was the most common causes of use. Most cases were alive and only 1.7% were deceased. Conclusions: Although, poisoning by traditional drugs was still the most common cause of poisoning at the time of the study in this province, poisoning by synthetic drugs are on the rise.
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期刊介绍: Asia Pacific Journal of Medical Toxicology (APJMT) aims to expand the knowledge of medical toxicology and tries to provide reliable information in this field for medical and healthcare professionals. APJMT mainly focuses on research related to medical toxicology issues in the Asia Pacific region and publishes articles on clinical and epidemiological aspects of toxicology, poisonings emergency care, addiction, drug interactions and adverse effects. The journal accepts and welcomes high quality papers in the form of original articles and rarely review articles, case reports and scientific letters relevant to medical practice in toxicology.
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