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目的了解嘉兴市社区人群腹泻病流行特征、临床表现和经济负担,为合理配置卫生资源及决策提供依据。方法采用分层多阶段随机整群抽样方法抽取调查对象,一年四次入户调查两周、一个月及三个月腹泻病发病情况和经济负担等。结果调查21 277人次,二周发病率0.58%,腹泻病年发病率0.151次/人年,1岁组和50-59岁组人群发病率较高;78.57%病例腹泻1-3天,81.25%病例腹泻最多每天5次,儿童发热率、就诊率均明显高于成人;病例次均经济负担539.18元,其中直接医疗费用为94.96元,儿童病例直接医疗费用占调查人群的75.32%;估算全市总经济负担4.30亿元,约占年生产总值3.08‰。结论腹泻病临床表现较轻,就诊率低,疾病负担重,建议加强儿童与50-59岁年龄人群腹泻病防控。
Objective To understand the epidemiological features, clinical manifestations and financial burden of diarrhea in community in Jiaxing City, and to provide basis for rational allocation of health resources and decision-making. Methods The stratified multi-stage random cluster sampling method was used to select the respondents. The survey was conducted four times a year for two weeks, one month and three months for the incidence of diarrhea and the economic burden. Results A total of 21 277 person-times were observed, with a 2-week incidence rate of 0.58%. The incidence of diarrhea was 0.151 / person-years. The prevalence rate was higher in the 1- and 50-59-year-olds. Diarrhea occurred in 78.57% of cases for 1-3 days and 81.25% Cases of diarrhea up to 5 times a day, children’s fever rate, visiting rate were significantly higher than adults; the average economic burden of cases 539.18 yuan, of which 94.96 yuan for direct medical costs, children’s direct medical costs accounted for 75.32% of the survey population; The economic burden is 430 million yuan, accounting for 3.08 ‰ of the annual GDP. Conclusion The clinical manifestations of diarrhea are light, the visiting rate is low, and the disease burden is heavy. It is suggested to strengthen the prevention and control of diarrhea in children and people aged 50-59.