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目的:分析云南省丽江市古城区农村居民冠心病的直接、间接和无形经济负担。方法:采用整群抽样方法,抽取该地1519名35岁以上的村民,通过现场问卷调查,获取冠心病的患病及经济负担资料。结果:该地农村居民冠心病的患病率为1.58%,其中,男性患病率为2.17%,女性为1.20%。男性冠心病的患病率高于女性(P<0.05)。冠心病患者人均直接、间接和无形经济负担分别为9053.6元、1164.6元和4550.2元。该地村民冠心病总的经济负担为2383369元,人均疾病经济负担为4967.6元。53%的冠心病患者靠借款或变卖家产支付医疗费用。结论:冠心病给丽江市古城区农村居民造成了沉重的经济负担,应该采取措施降低冠心病的经济负担。
Objective: To analyze the direct, indirect and intangible financial burden of rural residents with coronary heart disease in Gucheng District, Lijiang City, Yunnan Province. Methods: Using cluster sampling method, 1519 villagers over the age of 35 in this area were selected to get the prevalence and financial burden of coronary heart disease by questionnaire survey. Results: The prevalence rate of coronary heart disease was 1.58% in rural areas, of which 2.17% for males and 1.20% for females. The prevalence of coronary heart disease in men was higher than that in women (P <0.05). Per capita direct, indirect and invisible economic burden of patients with coronary heart disease were 9053.6 yuan, 1164.6 yuan and 4550.2 yuan respectively. The total economic burden of villagers coronary heart disease was 2383369 yuan, the per capita economic burden of 4967.6 yuan disease. 53% of patients with coronary heart disease by borrowing or selling real estate to pay for medical expenses. Conclusion: Coronary heart disease has caused a heavy financial burden on rural residents in Gucheng District of Lijiang City and should take measures to reduce the economic burden of coronary heart disease.