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研究了鲁山县防治碘缺乏病三十多年投入的总成本和取得的经济效益,地方性甲状腺肿患病率由1958年的33.2%下降到2.26%。累计治愈甲状腺肿患者117019人,推算减少新发甲状腺肿患者314995例,避免发生克汀病908例。总投入资金316.94万元,总收益为7459.81万元,成本效益比为23.5。取得了明显的社会效益和经济效益。防治碘缺乏病对于提高病区人口素质、增强人群体质和智力水平;增加病区人口的创造力、生产力和生活、学习能力;提高病区人均收入有促进作用。证实防治碘缺乏病是一项低投入高效益的事业,建议在今后的卫生资源分配中增加防治碘缺乏病的投入。
Studied the total cost of Lushan County’s prevention and treatment of iodine deficiency disorders over the past 30 years and the economic benefits it obtained. The prevalence of endemic goiter dropped from 33.2% in 1958 to 2.26%. A total of 116,019 patients with goiter were cured, 314,995 cases were estimated to reduce the number of newly diagnosed goiters, and 908 cases of cretinism were avoided. The total investment of 3.1694 million yuan, the total revenue of 74.5981 million yuan, the cost-benefit ratio of 23.5. Obvious social and economic benefits have been achieved. Prevention and treatment of iodine deficiency disorders improve the quality of the ward population, enhance population constitution and intelligence level; increase ward population creativity, productivity and living and learning ability; improve ward per capita income has a catalytic role. Confirming that prevention and treatment of iodine deficiency disorders is a low-cost and highly profitable business, it is proposed to increase the control of iodine deficiency disorders in future distribution of health resources.