济南地区支气管哮喘患者经济负担及其影响因素分析  

The economic burden of bronchial asthma and its related factors in Jinan

作　　者：王得翔[1] 季秀丽[1,2] 马德东[1] 张玉可[1] 何宝龙[1] 王文巧[1] 肖伟[1] 

机构地区：[1]山东大学齐鲁医院呼吸内科,济南250012 [2]济南市中医医院呼吸内科,济南250012

出　　处：《山东大学学报（医学版）》2012年第5期124-128,共5页Journal of Shandong University:Health Sciences

基　　金：济南药业集团对本次流行病调查经费的无私赞助

摘　　要：目的调查总结济南地区2009年支气管哮喘患者经济负担,并分析其影响因素。方法依据2009年山东省济南市整群随机抽样13 419人关于哮喘的流行病学调查中152名哮喘患者的相关资料,利用直接法和人力资本法,测算济南城市居民和乡镇农业人口支气管哮喘的经济负担,并运用单因素χ2检验、多因素Logistic回归等方法,分析影响支气管哮喘治疗费用的因素。结果 2009年济南地区城市和农村居民支气管哮喘总体患病率为1.1%。疾病总经济负担为2.90亿元,其中直接经济负担为2.53亿元,间接经济负担为0.37亿元,人均经济负担为4 378元。是否合并鼻炎、患有其他心肺疾病、因哮喘住院、吸烟指数及抗菌药物的过度使用是影响济南地区支气管哮喘经济负担的主要因素。结论济南地区支气管哮喘患者经济负担沉重,吸烟和抗生素的过度使用是主要的、但又是可以控制的经济负担增加的因素,积极控制吸烟,大力宣传贯彻实行哮喘的规范化治疗,杜绝滥用抗菌药物,可减少医疗资源的浪费,有效降低哮喘患者的经济负担。Objective To investigate the economic burden of asthma in Jinan,and to analyze its influencing factors.Methods Data of 152 asthma patients chosen from 13 419 residents through randomized cluster sampling in the asthma epidemiologic survey in Jinan,Shandong Province in 2009 were analyzed.The economic burdens of asthma in both the urban and the rural area of Jinan were assessed through the direct method and human capital method.The Chi-square test and multiple logistic regression analysis were employed to investigate the related factors of expenses of asthma treatment.Results The prevalence of asthma was 1.1% in Jinan.The economic burden of diseases was 290 million yuan,including 253 million yuan for the direct economic burden and 37 million yuan for the indirect economic burden.The average burden per capita was 4 378 yuan.Complication with allergic rhinitis or other cardio-pulmonary diseases,hospitalization for asthma,smoking index and overuse of antibiotics were the main impact factors on the asthma burden in Jinan.Conclusion The economic burden of bronchial asthma for patients in Jinan is heavy.Smoking and overuse of antibiotics were the main but controllable factors for the increased economic burden.Tobacco control,implementation of standard asthma treatment and avoiding overuse of antibiotics can effectively eradicate medical resources waste and decrease the economic burden of asthma.

关 键 词：支气管哮喘 经济负担 影响因素 

分 类 号：R562.2[医药卫生—呼吸系统]