CAJ | 학술논문

目的通过分析2012-2013年北京市流感流行季(2012年9月-2013年4月)流感样病例监测与流感病原学监测结果的相关性,评价北京市一级以上医疗机构和二级以上医疗机构流感样病例监测工作的适用性和有效性.方法分析北京市421家一级以上医疗机构和144家二级以上医疗机构的流感样病例监测数据,按周次分别与北京市14家医疗机构开展的流感病原学监测数据进行相关性分析和回归检验.结果一级以上和二级以上医疗机构门急诊流感样病例百分比(ILI％)与流感病毒病原学监测中病毒分离阳性率成正相关(一级医院r =0.794,P＜0.001;二级医院r=0.787,P＜0.001).一级以上和二级以上医疗机构ILI％与流感病毒分离阳性率的回归确定系数r2分别为0.630(P ＜0.001)和0.620(P ＜0.001).结论一级以上和二级以上医疗机构流感样病例中归因为流感病毒感染的比例基本一致,从成本效益分析角度考虑,北京市利用144家二级以上医疗机构开展流感样病例监测已经可以满足对疾病监测的需要,比扩展到421家一级以上医疗机构具有更好的成本效益比.
목적 통과분석2012-2013년북경시류감류행계(2012년9월-2013년4월)류감양병례감측여류감병원학감측결과적상관성,평개북경시일급이상의료궤구화이급이상의료궤구류감양병례감측공작적괄용성화유효성.방법 분석북경시421가일급이상의료궤구화144가이급이상의료궤구적류감양병례감측수거,안주차분별여북경시14가의료궤구개전적류감병원학감측수거진행상관성분석화회귀검험.결과 일급이상화이급이상의료궤구문급진류감양병례백분비(ILI％)여류감병독병원학감측중병독분리양성솔성정상관(일급의원r =0.794,P＜0.001;이급의원r=0.787,P＜0.001).일급이상화이급이상의료궤구ILI％여류감병독분리양성솔적회귀학정계수r2분별위0.630(P ＜0.001)화0.620(P ＜0.001).결론 일급이상화이급이상의료궤구류감양병례중귀인위류감병독감염적비례기본일치,종성본효익분석각도고필,북경시이용144가이급이상의료궤구개전류감양병례감측이경가이만족대질병감측적수요,비확전도421가일급이상의료궤구구유경호적성본효익비.
Objective To analyze the correlation between the influenza-like illness surveillance results and the influenza pathogen surveillance results in Beijing during 2012-2013 influenza season (From September 2012 to April 2013),the application and effectiveness of influenza-like illness surveillance work of level one above and level two above medical institutions in Beijing were analyzed.Methods Influenzalike illness surveillance data at 421 level one above medical institutions and 144 level two above medical institutions in Beijing were analyzed.And on weekly basis,correlation analysis and regression analysis were conducted in comparison to influenza pathogen surveillance data developed at 14 medical institutions in Beijing.Results Influenza-like illness percentage (ILI％) at level one above and level two above medical institution wass in positive relation to influenza virus pathogen surveillance virus isolation positive rate (level one r =0.794,P ＜0.001 ; level two r =0.787,P ＜0.001) ; level one above and level two above medical institutions ILI％ and influenza virus isolation positive rate regression determination coefficient were 0.630(P＜0.001) and 0.620 (P＜0.001),respectively.Conclusions According to the benefit analysis,144level two above medical institutions carrying out influenza-like illness surveillance can meet the need of illness monitoring.It possesses better benefit-cost ratio than expanding to 421 level one above medical institutions.