湖南省丝虫病防治的成本-效果分析  

Cost-benefit analysis of lymphatic filariasis control in Hunan Province

作　　者：邓艳霞[1] 段绩辉[2] 王乐三[1] 伍卫平[3] 谭勇刚 

机构地区：[1]中南大学公共卫生学院流行病与卫生统计学教研室,湖南长沙410078 [2]湖南省疾病预防控制中心,湖南长沙410005 [3]中国疾病预防控制中心寄生虫病预防控制所,上海200025 [4]株洲市第二人民医院,湖南株洲412000

出　　处：《中国热带医学》2008年第1期6-9,共4页China Tropical Medicine

摘　　要：目的对湖南省丝虫病防治进行成本-效果分析。方法采取典型调查的方法获取样本。通过查阅文献、档案、问卷调查、个别访谈进行调查。用直线回归法推导微丝蚴率与慢性丝虫病患病率、慢性丝虫病患病率与急性淋巴管/结炎(Adenolymphangitis,ADL)的关系。结果按不同的防治方案进行分期分析,反复查治时期、普服乙胺嗪药盐时期及丝虫病防治工作全期的成本-效果比分别为每降低1%微丝蚴率需投入经费(以人民币元计算)44.97、268.04和161.41万元,平均每100人微丝蚴率降低1%需投入25.14、136.70和、86.10元。每减少1例ADL发病的成本为17.78、267.27、93.16元,每减少1例晚期丝虫病人需要38.25、559.54、198.77元。结论湖南省以控制传染源为主导,采用普查普治和普服乙胺嗪药盐等技术方案防治丝虫病,是一种经济、有效的措施,体现了一定的成本效果。Objective To evaluate the economic benefit of lymphatic filariasis control in Hunan Province using cost - benefit analysis. Methods Six counties in Hunan Province were chosen and investigated . Literatures and data collected by questionnaire surveys , individual interview and expert consultation were anlayzed . The liner regression was employed to induce the relationships between microfilaria （Mr） rate and prevalence of chronic f＇dariasis, incidence of adenolymphangitis （ADL） and prevalence of chronic f＇dariasis , respectively. Results The control work was divided into two stages, namely repeated mass screening and trestment （stage A ）, DEC - medicated salt administration stage （stage B） and the whole control stage based on differeent control measures. In stage A , stage B and the whole stage, the direct benefit was 6,494,100, 3,001,000, 9,495,100 yuan,as the indirect benefit were RMB 6.494 million yuan, RMB3.001 million yuan and RMB9.4951 million yuan, respectively; the indirect benefit were RMB9.554 millionyuan, RMB3.5782 million yuan and RMB13.13221 million yuan, respectively. The net benefit of each one were RMB14.3754 million yuan, RMBO.3025 million yuan and RMB14.6779 million yuan, respectively. And the cost and benefit ratio were 15.02, 1.05 and 2.91, respectively. Conclusion The measures with control of sources of infection as the main task combined with mass detection/treatment and mass administration of DEC - medicated salt are cost - effective for control of filariasis in Huanan Province.

关 键 词：丝虫病 微丝蚴血症 防治 经济学评价 成本-效果 

分 类 号：R532.15[医药卫生—内科学]