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目的通过北京市密云区居民急性胃肠炎及其疾病负担的调查,首次估计本地区人群该病的疾病负担情况。方法采用多阶段分层随机抽样方法开展为期12个月的横断面调查。结果共调查1 664人,调查率99.05%,急性肠胃炎的月患病率为2.28%,年发病率为0.30次/人年,其中食源性比例占42.11%,每年约有14.37万人次罹患急性胃肠炎,发生急性胃肠炎后有71.05%患者不去就诊,患者服用抗生素、止泻药的较多,因急性胃肠炎导致的总经济损失约为1 429.76万元。结论北京市密云区居民急性胃肠炎负担比较重。食源性比例较高,不但会影响人类健康,还会带来经济损失,给工作、生活、经济、社会带来一定的负担。应提高患者就诊意识、开展人群健康教育。并定期开展社区居民急性胃肠炎的调查并适当增加其样本量,获取更加准确、可靠的调查数据,制定干预措施并加以评估。
Objective To investigate the prevalence of acute gastroenteritis and its burden of disease in Miyun district of Beijing for the first time and to estimate the burden of disease in this area for the first time. Methods The multi-stage stratified random sampling method was used to carry out 12-month cross-sectional survey. Results A total of 1 664 persons were surveyed, with a survey rate of 99.05%. The monthly prevalence rate of acute gastroenteritis was 2.28%. The annual incidence rate was 0.30 times / person-year. The proportion of food-borne diseases accounted for 42.11% and about 143,700 persons Acute gastroenteritis, 71.05% of patients did not go to the clinic after acute gastroenteritis, patients taking antibiotics, antidiarrheal drugs more, the total economic loss due to acute gastroenteritis is about 4297600 yuan. Conclusion The residents of Miyun district in Beijing are more burdened with acute gastroenteritis. The high proportion of food sources not only affects human health, but also brings about economic losses and brings a certain burden to work, life, economy and society. Awareness of patients should be improved and crowd health education should be carried out. And regular community residents with acute gastroenteritis survey and increase their sample size, access to more accurate and reliable survey data, the development of interventions and to assess.