2013—2014年江苏省昆山市急性胃肠炎负担研究  

Disease burden of acute gastroenteritis: a population-based survey in Kunshan,Jiangsu,2013-2014

作　　者：宋文磊[1] 梁晓军[1] 孙强[1] 徐琴[1] 张建新[1] 

机构地区：[1]昆山市疾病预防控制中心,江苏昆山215300

出　　处：《疾病监测》2015年第4期305-309,共5页Disease Surveillance

摘　　要：目的探讨江苏省昆山地区急性胃肠炎的流行病学特征和社会经济负担。方法开展为期12个月的社区人群横断面调查,分析急性胃肠炎的发病情况、影响因素分布、临床表现、诊治情况以及经济负担。结果 2013年5月至2014年4月共调查1200人,急性胃肠炎患病率为3.5%（95%CI：2.5%∽4.5%）,年发病率为0.464次/人年（95%CI：0.329∽0.599）,每年约有89.2万人次发生急性肠胃炎,食源性比例为31.9%。发病时间主要集中在春季和秋季;文化程度越低、家庭收入越低、居住在农村地区,急性肠胃炎患病风险越高。76.2%的病例去医院就诊,就诊病例中37.5%的人送检粪便样本;药物治疗的病例中76.2%服用抗生素。急性胃肠炎造成总经济损失约为1.83亿元,占2012年昆山市国内生产总值（2720亿元）的0.67‰。结论昆山地区急性胃肠炎社会和经济负担较重,未到就业年龄人群和农村地区人群患病风险较高,应建立健全食源性疾病主动监测体系,探索有针对性干预措施,为减轻食源性疾病的社会经济负担,提高防控能力提供科学依据。Objective To understand the epidemiological characteristics of acute gastroenteritis and related social economic loss in Kunshan, Jiangsu province. Methods A retrospective face-to-face survey was conducted among the community population in Kunshan from May 2013 to April 2014 to obtain the information on acute gastroenteritis incidence, influencing factors, clinical manifestations, diagnosis and treatment as well as its economic loss. Results A total of 1200 interviews were conducted. The overall incidence of acute gastroenteritis was 3.5% （95% CI： 2. 5% - 4. 5% ）. About 892 000 acute gastroenteritis cases occurred each year, and food-borne cases accounted for 31.9%. The incidence peaks were in spring and autumn. The risk to be affected by acute gastroenteritis is higher in people with low educational level, lower family income and living in rural area. Up to 76.2% of the patients went to see doctors, and among the patients seeking medical care, 37.5% sent stool samples. Among the patients receiving treatment, 76.2% used antibiotics. The overall economic loss caused by acute gastroenteritis was about 183 million yuan RMB, accounting for 0.67%0 of gross domestic product（GDP） in Kunshan in 2012（272 billion yuan RMB）. Conclusion The social and economic burden caused by acute gastroenteritis in Kunshan was heavy. Children and people living in rural area are at high risk to be affected by acute gastroenteritis. It is necessary to establish and improve the active foodborne disease surveillance system and conduct targeted intervention.

关 键 词：急性胃肠炎 食源性疾病 横断面研究 疾病负担 

分 类 号：R57[医药卫生—消化系统]