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目的评价一起旋毛虫病暴发事件的疾病负担,为制定当地旋毛虫病防治策略及措施提供卫生经济学依据。方法通过引入伤残调整生命年(DALY)体系,对云南省大理州凤仪镇云浪村52位旋毛虫感染者进行EQ-SD+C生命质量量表和相关医疗费用询问,计算失能权重(DW),并据此测算感染者的疾病负担。结果 EQ-5D+C生命质量量表评价显示旋毛虫感染者疼痛不适所占比例最高,达到51.92%(27/52),其次是认知记忆受限,为42.31%(22/52);总DW为0.097±0.154,DALY为3.901人年;本次旋毛虫病暴发总经济负担为45 364.69元,人均经济负担515.51元。结论旋毛虫病暴发引发的个人负担和经济负担都较高,因此旋毛虫病流行区的卫生决策部门在制定当地寄生虫病预防和干预措施时应高度关注旋毛虫病。
Objective To evaluate the burden of diseases associated with an outbreak of Trichinellosis and provide a basis for health economics for the development of strategies and measures for the prevention and control of Trichinella in local areas. Methods A total of 52 Trichinella spiralis patients in Yunlang Village, Fengyi Town, Dali Prefecture, Yunnan Province were asked to inquire the EQ-SD + C quality of life questionnaire and related medical expenses by introducing DALY system, and the disability weight (DW), and thus calculate the burden of disease of the infected person. Results The EQ-5D + C quality of life questionnaire showed that Trichinella infection had the highest proportion of pain discomfort, reaching 51.92% (27/52), followed by cognitive deficits (42.31%, 22/52) DW was 0.097 ± 0.154, DALY was 3.901 person-years; the total economic burden of this trichinosis outbreak was 45 364.69 yuan, the per capita economic burden of 515.51 yuan. Conclusions Trichinellosis outbreaks are associated with high personal and financial burdens. Therefore, the health policy-making departments in endemic areas of Trichinosis should pay high attention to trichinosis when formulating local prevention and intervention measures for parasitic diseases.