甘肃省流行性乙型脑炎的疾病负担分析  

Analysis on Disease Burdern of Japanese Encephalitis(JE) in Gansu Province

作　　者：王旭霞[1] 李艺星[2] 尹遵栋[2] 李军宏[2] 李慧[1] 李凤琴[1] 梁雪枫[1] 高丽[1] 张晓曙[1] 梁晓峰[2] 

机构地区：[1]甘肃省疾病预防控制中心,兰州730000 [2]中国疾病预防控制中心免疫规划中心,北京100050

出　　处：《中国疫苗和免疫》2010年第3期246-250,共5页Chinese Journal of Vaccines and Immunization

摘　　要：目的初步分析流行性乙型脑炎(乙脑)疾病负担,为制定预防控制策略提供借鉴。方法利用甘肃省2006年法定传染病网络直报系统的数据资料,分析乙脑发病率、死亡率、病死率;对2005、2006年报告乙脑病例中,血清学或脑脊液检测乙脑病毒IgM抗体阳性、确诊为乙脑的病例进行随访调查。分析患者因治疗乙脑及后遗症而产生的住院费、购药费等直接医疗费用及交通费等直接非医疗费用。结果甘肃省2006年乙脑死亡率在27种法定甲、乙类传染病中居第3位,病死率居第1位。乙脑病例的直接经济费用为6889元/例。甘肃省2006年乙脑的直接经济负担为111.60万元。结论乙脑死亡率高、病死率高,成人病死率高于儿童。患者要承担高额的治疗费用,由乙脑造成的负担不可低估。Objective To evaluate the disease burden of Japanese Encephalitis（JE）,and provide strategy for disease control and prevention.MethodsFirstly,analysis the incidence,mortality and fatality rate of JE in Gansu province in 2006.Then the investigation was carried out for calculating all expenditure items of the patients,including medical cost of the hospitalization,medicines,the transport costs,and other non-medical direct cost.ResultsIn 2006,among the 27 type A and B notifiable infectious diseases in Gansu Province,JE mortality rate was at the top 3,fatality rate was at first rank.The direct cost of JE disease was 6889 RMB per case.In 2006,the direct cost of JE cases was 1,116,000 RMB in Gansu Province.ConclusionJE had the high mortality,and fatality.The fatality in adult was higher than in children.JE patients had to pay high costs.JE disease burden should not be underestimated.

关 键 词：流行性乙型脑炎 疾病负担 

分 类 号：R512.32[医药卫生—内科学]