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目的了解甘肃省社区人群腹泻病的流行特征、就诊情况和经济负担,为有效控制腹泻病提供参考依据。方法采用分层多阶段随机整群抽样方法进行入户问卷调查。结果甘肃省社区人群腹泻发病率为1.7%,平均1.28次/人/年;男性发病率为1.94%,女性发病率为1.47%;5岁以下儿童发病率最高,为4.67%;14项职业中家庭主妇发病率最高,为2.23%;7项文化程度中学龄前儿童发病率最高,为3.89%。腹泻病例腹泻天数以2~3天最多,占51.23%;腹泻伴发热的病例较少,仅占10.18%;发生腹泻的原因主要是食物源型,占61.11%;61.19%的人发生腹泻后选择服药,选择口服补液的仅占0.70%;43.71%的腹泻病例不去医疗机构就诊,在就诊的腹泻病例中有74.86%的人选择基层医疗机构。两周腹泻病例人(次)均门诊经济负担和住院经济负担分别为347元和2 434.07元。结论甘肃省腹泻病发病率较高,其中5岁以下儿童腹泻病发病率最高,造成的经济负担也重,针对这一情况采取相应卫生干预措施,才能有效降低发病率,减轻疾病负担。
Objective To understand the epidemiological characteristics, medical treatment and economic burden of diarrhea in community population in Gansu Province and provide a reference for effective control of diarrhea. Methods A stratified multi-stage random cluster sampling method was used to conduct household questionnaire survey. Results The incidence of diarrhea was 1.7% in the community population of Gansu Province, with an average of 1.28 times / person / year; the incidence of males was 1.94% and the incidence of females was 1.47%; the incidence of children under 5 years was the highest (4.67%); among 14 occupations The highest incidence of housewives, 2.23%; 7 of the highest educational level of pre-school children, 3.89%. Diarrhea cases diarrhea days to 2 to 3 days, accounting for 51.23%; diarrhea with fever less cases, accounting for only 10.18%; diarrhea causes mainly food source, accounting for 61.11%; 61.19% of people after diarrhea, choose Taking only 0.70% of oral rehydration drugs; 43.71% of cases of diarrhea did not go to medical institutions, 74.86% of the cases of diarrhea in the treatment of selected primary care institutions. Two-week diarrhea cases (times) outpatient financial burden and hospital financial burden were 347 yuan and 2 434.07 yuan. Conclusions The incidence of diarrheal diseases is high in Gansu Province. Among them, the incidence of diarrheal diseases is the highest in children under 5 years of age, and the economic burden is also heavy. Corresponding health intervention measures can reduce the morbidity and reduce the burden of diseases.