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目的了解河南农村秋冬季节5岁以下儿童急性胃肠炎流行现状和疾病负担。方法采用单纯随机整群抽样方法,抽取7个行政村的所有5岁以下儿童共513名。结果 5岁以下儿童秋冬季急性胃肠炎2周发病率为9.4%,疾病负担平均为2.7151DALYs/千人,年龄越小疾病负担越高;0岁组最高,为6.5839DALYs/千人。患儿例均经济负担为284.84元,其中直接经济负担为211.83元,间接经济负担为72.98元。结论 5岁以下儿童秋冬季急性胃肠炎发病率随年龄增长呈下降趋势,疾病负担主要集中于3岁以下儿童(尤其0~1岁婴幼儿);秋冬季应积极预防病毒性急性胃肠炎,防控重点应在2岁以下儿童;早就诊早治疗,以减少住院病例,降低疾病负担。
Objective To understand the prevalence and burden of acute gastroenteritis in children under 5 years of age in Henan rural areas in autumn and winter. Methods Using a simple random cluster sampling method, a total of 513 children under the age of 5 were selected from 7 administrative villages. Results The incidence of acute gastroenteritis in children under 5 years of age in two weeks was 9.4%. The average burden of disease was 2.7151DALYs per 1,000 people. The younger the age, the higher the burden of disease. The highest rate was 0,4839DALYs per 1,000 people. The average economic burden of children was 284.84 yuan, of which the direct economic burden of 211.83 yuan, the indirect economic burden of 72.98 yuan. Conclusions The incidence of acute gastroenteritis in autumn and winter in children under 5 years of age shows a decreasing trend with age. The burden of disease mainly concentrates on children under 3 years of age (especially infants and young children aged 0-1 years). In autumn and winter, the incidence of acute gastroenteritis , Prevention and control should focus on children under 2 years of age; early treatment early treatment to reduce hospitalized cases and reduce the burden of disease.