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目的研究甘肃省社区居民急性胃肠炎流行情况和患者就诊行为,为防控措施制定和合理配置卫生资源提供科学依据。方法于2011年12月—2013年11月采用分层随机抽样方法调查社区居民4 229人,通过入户面对面访谈形式,运用标准化调查问卷收集调查信息。结果社区居民急性胃肠炎加权月患病率为6.6%,患者服药率为94.7%,抗生素使用率为63.3%;患者就诊率为70.7%,城、乡就诊率分别为71.1%、69.8%,差异无统计学意义,男、女就诊率分别为88.4%、52.9%,差异有统计学意义(χ2=23.2,P<0.01);患者主要选择二级综合医院就诊。结论甘肃省社区居民急性胃肠炎患病率、就诊率、服药率、抗生素使用率相对较高,患者多选择二级综合医院就诊,社区卫生服务中心以及村卫生室就诊率较低。
Objective To study the prevalence of acute gastroenteritis and patient visits in community residents in Gansu Province and to provide a scientific basis for the development of prevention and control measures and the rational allocation of health resources. Methods From December 2011 to November 2013, stratified random sampling method was used to survey 4,229 community residents. Through interviewing households through face-to-face interview, standardized survey questionnaires were used to collect survey information. Results The monthly prevalence of acute gastroenteritis in community residents was 6.6%, the rate of taking drugs was 94.7%, the rate of antibiotics was 63.3%, the visiting rate was 70.7%, the visiting rates of urban and rural areas were 71.1% and 69.8% The difference was statistically insignificant. The male and female attendance rates were 88.4% and 52.9% respectively, with significant difference (χ2 = 23.2, P <0.01). The patients were mainly treated at the second level general hospital. Conclusions The prevalence rate of acute gastroenteritis, visiting rate, medication rate and antibiotic utilization rate of community residents in Gansu Province are relatively high. Patients in second choice of general hospital, community health centers and village clinics have lower visiting rate.