论文部分内容阅读
目的评价天津市病毒性腹泻病例疾病负担,为制定防控政策提供科学依据。方法采用面对面现场询问的方法 ,参考家庭负担会谈量表自制问卷,调查被调查对象一般情况和相关费用及家庭负担。采集病例粪便标本进行实验室检测。结果天津市2008-2009年951例病毒性腹泻病例人均总费用为178.8元,5岁以下的门诊病例(3640.5元)和住院病例(4434.5元)的人均费用分别是5岁及以上病例的3.23倍和6.24倍,5岁以下组病例感染诺如病毒直接医疗费用要高于轮状病毒(P<0.05),感染轮状病毒比诺如病毒对家庭成员收入和家庭娱乐活动影响要大(P<0.05);而5岁及以上组病例,感染轮状病毒的直接费用要高于诺如病毒(P<0.05),而诺如病毒造成的家庭负担最重(P<0.05)。结论病毒性腹泻病例中5岁以下儿童经济负担重,并且感染诺如病毒比轮状病毒的疾病负担高,建议将有效的肠道病毒疫苗列为计划免疫范畴。
Objective To evaluate the burden of disease in the case of viral diarrhea in Tianjin and provide a scientific basis for the development of prevention and control policies. Methods Face-to-face interrogation method was used to refer to the questionnaire of home-burden interlocutory questionnaire to investigate the general situation of the respondents and related costs and family burden. Collect stool specimens for laboratory testing. Results The per capita cost of 951 cases of viral diarrhea in Tianjin in 2008-2009 was 178.8 yuan. The per capita cost of outpatients under 5 years (3640.5 yuan) and in-patients (4434.5 yuan) were 3.23 times that of those aged 5 years and over (P <0.05). The infection of rotavirus with nooviruses had a greater impact on family income and family recreational activities (P < 0.05). However, the direct costs of rotavirus infection in patients aged 5 and above were higher than that of norovirus (P <0.05), while norovirus was the heaviest in family burden (P <0.05). Conclusions Children under 5 years of age in the case of viral diarrhea are economically burdensome and have a higher burden of infection with norovirus than rotavirus. It is recommended that an effective enterovirus vaccine be classified as a planned immunization.