摘要
目的评价四种诊断方法在血吸虫病不同程度流行区的检测效果与成本。方法应用集卵孵化法（Ａ）、Ｋａｔｏ－ｋａｔｚ法（Ｂ）、立刻ＥＬＩＳＡ（Ｃ）和快速一步法ＥＩＡ（Ｄ），对血吸虫病流行为重（Ｈ）、中（Ｍ）、轻（Ｌ）度的三个村进行检测和经费核算。结果根据层次分析法综合评价四种方法在流行区的效果／成本（Ｅ／Ｃ）比值：Ａ为０．２４０、０．２４１、０．２４４，Ｂ为０．２６４、０．２６７、０．２７１，Ｃ为０．２９２、０．２８８、０．２６６，Ｄ为０．２９９、０．３０１、０．２８３。结论表明Ｄ法在三种流行区检测的效果最好，经费最少，效果／成本比值最大。
Objective To assess the effectiveness and the cost of four diagnostic strategies in
Schistosomiasis japonica endemic areas of different infectious degrees. Methods The hatching
method(A),Kato-Katz method(B),quick ELISA(C),and EIA(D) were used to detect and to collect
information on epidemiology and economics for Schistosomiasis japonica at three villages
where the prevalence is heavy(H),moderate (M),and light(L),respectively. A model to evaluate
cost-effectiveness was established comprehensively. Results The above three villages had
been assessed respectively by the following formula:E(x)= n I=1 Wifi.The ratios of
effectiveness/cost(E/C) were as follows:0.240,0.241,244,respectively,for method A;0.264,0.267,
0.271,respectively,for method B;0.292,0.288,0.266,respectively,for method C;0.299,0.301,0.283,
respectively,for method D. Conclusion Method D is the best at heavy,moderate,and light
endemic areas with the best effect,least funds and biggest effectiveness and cost ratio.
出处
《实用预防医学》
CAS
1999年第3期161-163,共3页
Practical Preventive Medicine
基金
JRMC资助
关键词
综合评价
血吸虫病
诊断
omprehensive evaluationSchistosomiasis japonicaDiagnostic strategy
