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目的了解云南省玉溪市2010-2013年手足口病流行期间患者的经济负担情况。方法随机抽取重症病例,然后采用1∶1配对普通病例对照的方法对玉溪市2010-2013年儿童手足口病病例的经济负担进行个案调查。结果本次共调查手足口病例210例,重症病例和普通病例各105例。人均总经济负担、直接经济负担和间接经济负担中位数分别为6 159.07元、4 388.06元和1 770.98元。普通病例人均经济负担中位数为2 717.19元,其中直接经济负担人均中位数为1 672.02元,间接经济负担人均中位数为1 045.17元。重症病例人均经济负担中位数为9 472.27元,其中直接经济负担人均中位数为7 002.62元,间接经济负担人均中位数为2 469.65元,重症病例总经济负担、直接经济负担和间接经济负担均高于普通病例,差异有统计学意义(P<0.05)。结论玉溪市手足口病经济负担较重,仍需积极做好手足口病预防控制工作,规范手足口病诊疗,切实降低发病率。
Objective To understand the economic burden of patients during the epidemic of hand, foot and mouth disease in Yuxi City, Yunnan Province during 2010-2013. Methods Severe cases were randomly selected. Then, a case-control study was conducted on the economic burden of hand-foot-mouth disease among children from 2010 to 2013 in Yuxi City by using a 1: 1 matched common case-control method. Results A total of 210 cases of hand, foot and mouth were surveyed, 105 cases of severe cases and common cases. The median total economic burden per capita, direct economic burden and indirect economic burden were 6,157.07 yuan, 4,388.06 yuan and 1,770.98 yuan respectively. The median per capita economic burden of ordinary cases was 2,717.19 yuan, with a per capita median direct financial burden of 1,672.02 yuan and a median per capita economic burden of 1,045.17 yuan. The median per capita economic burden of critically ill patients was 9 472.27 yuan, of which the median per capita economic burden was 7 002.62 yuan, the median per capita economic burden was 2 469.65 yuan, the total economic burden of heavy cases, the direct economic burden and the indirect economy Burden were higher than common cases, the difference was statistically significant (P <0.05). Conclusion Hand-foot-mouth disease in Yuxi City has a heavy economic burden. It is still necessary to actively carry out prevention and control of hand-foot-mouth disease, regulate the diagnosis and treatment of HFMD, and effectively reduce the incidence.