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目的分析湖北省社区居民急性胃肠炎的就医用药状况。方法采用多阶段整群随机抽样的方法抽取调查对象,入户问卷调查其急性胃肠炎发生情况和就诊及用药情况。结果共调查3 891人,急性胃肠炎患病率4.06%(95%CI:3.44%~4.68%),就诊率为70.89%(95%CI:63.81%~77.97%)。15岁以下年龄组病例就诊率最高(P<0.01),居住在农村的急性胃肠炎病例就诊率高于城市(P<0.01)。急性胃肠炎病例中有140例(88.61%)因病服药。服药病例中有65.00%曾服用止泻药,50.00%曾服用抗生素。结论湖北省急性胃肠炎患者因病就医的比例较高,半数病例用抗生素治疗提示抗生素滥用现象较为突出。
Objective To analyze the medical treatment of acute gastroenteritis in community residents in Hubei province. Methods A multistage cluster random sampling method was used to select the respondents. The questionnaire was used to investigate the incidence of acute gastroenteritis and the treatment and medication status. Results A total of 3 891 subjects were enrolled. The prevalence of acute gastroenteritis was 4.06% (95% CI: 3.44% -4.68%). The visiting rate was 70.89% (95% CI: 63.81% -77.97%). The highest attendance rate was found in patients under 15 years of age (P <0.01), and the prevalence of acute gastroenteritis cases in rural areas was higher than that in urban areas (P <0.01). 140 cases of acute gastroenteritis (88.61%) due to illness medication. Among the medication cases, 65.00% used antidiarrheal drugs and 50.00% used antibiotics. Conclusion The proportion of acute gastroenteritis patients receiving medical treatment in Hubei Province is high, and antibiotic treatment in half of cases indicates that the abuse of antibiotics is more prominent.