北京市密云区居民急性胃肠炎及其疾病负担调查

Investigation on Disease Burden of Acute Gastroenteritis Among Residents of Beijing Miyun District

目的通过北京市密云区居民急性胃肠炎及其疾病负担的调查,首次估计本地区人群该病的疾病负担情况。方法采用多阶段分层随机抽样方法开展为期12个月的横断面调查。结果共调查1 664人,调查率99.05%,急性肠胃炎的月患病率为2.28%,年发病率为0.30次/人年,其中食源性比例占42.11%,每年约有14.37万人次罹患急性胃肠炎,发生急性胃肠炎后有71.05%患者不去就诊,患者服用抗生素、止泻药的较多,因急性胃肠炎导致的总经济损失约为1 429.76万元。结论北京市密云区居民急性胃肠炎负担比较重。食源性比例较高,不但会影响人类健康,还会带来经济损失,给工作、生活、经济、社会带来一定的负担。应提高患者就诊意识、开展人群健康教育。并定期开展社区居民急性胃肠炎的调查并适当增加其样本量,获取更加准确、可靠的调查数据,制定干预措施并加以评估。

Objective Through the investigation on disease burden of acute gastroenteritis in Beijing Miyun Dis- trict residents , estimating the local population disease burden of this illness at the first time. Methods A multi stage stratified random sampling method was used for a period of 12 - months cross - sectional study. Results 1, 664 people were investigated： the investigation rate was 99.05 %, prevalence rate of acute gastroenteritis was 2. 28% , and the annual incidence rate was 0. 30 times / year, among which the proportion of foodborne ac- counted for 42. 1%. Each year about 14. 37 million people suffered from acute gastroenteritis. 71.05% patients would not go to see a doctor, they used antibiotics and antidiarrheal instead. Acute gastroenteritis have caused about 1 429.76 million yuan economic loss. Conclusion Residents of Beijing Miyun District have heavy burden of acute gastroenteritis. The main source was food -borne , which not only would affect human health, but also bring economic losses, give a certain burden to work, life, economy and society. So we should raise awareness on it and carry out health education for patients. A regular investigation with appropriate larger samples of community residents for acute gastroenteritis is suggested to obtain more accurate and reliable survey data, intervention meas- ures and assessment.