CAJ | 학술논문

目的：了解浙江省杭嘉湖地区居民自报急性胃肠炎的患病状况及人群分布。方法采用多阶段抽样方法按人囗容量比抽取调查户，于2010年7月—2011年6月每月入户按生日确定调查其中1名家庭成员在近四周内急性胃肠炎发生情况及其就诊等情况。结果共调查居民9548人，急性胃肠炎四周患病率为2．95％，发病率为0．39次／人年。推算杭嘉湖地区全年有587．56万人次感染急性胃肠炎。多因素 Logistic 回归分析显示，女性四周患病率高于男性；7月和8月患病率较高；未到入学年龄人群急性胃肠炎四周患病率最高；农村患病率高于城市；家庭居住户人口数≥3人的月患病率高于居住人口数为1～2人户。56．38％的病例患病时曾去医院就诊，54．67％的病例服用抗菌药物；13．48％的病例因病误工，另有2．13％的病例因病误学。结论杭嘉湖地区人群自我报告急性胃肠炎患病率2．95％，自我报告患病率与性别、文化程度、月份（季节）、城乡居住地和家庭户人口数有关。
목적：료해절강성항가호지구거민자보급성위장염적환병상황급인군분포。방법채용다계단추양방법안인국용량비추취조사호，우2010년7월—2011년6월매월입호안생일학정조사기중1명가정성원재근사주내급성위장염발생정황급기취진등정황。결과공조사거민9548인，급성위장염사주환병솔위2．95％，발병솔위0．39차／인년。추산항가호지구전년유587．56만인차감염급성위장염。다인소 Logistic 회귀분석현시，녀성사주환병솔고우남성；7월화8월환병솔교고；미도입학년령인군급성위장염사주환병솔최고；농촌환병솔고우성시；가정거주호인구수≥3인적월환병솔고우거주인구수위1～2인호。56．38％적병례환병시증거의원취진，54．67％적병례복용항균약물；13．48％적병례인병오공，령유2．13％적병례인병오학。결론항가호지구인군자아보고급성위장염환병솔2．95％，자아보고환병솔여성별、문화정도、월빈（계절）、성향거주지화가정호인구수유관。
Objective To understand epidemiological characteristics of self -reported acute gastroenteritis in Hangzhou -Jiaxing -Huzhou area in Zhejiang Province.Methods According to the population capacity,the household interview was conducted among families selected by multi stage sampling method from July 2010 to June 2011,and one person who was approaching birthday in every family was selected for investigation, including symptoms and treatment of acute gastroenteritis.Results Totally 9 548 people were investigated.The monthly prevalence of acute gastroenteritis among the surveyed population was 2.95% and the incidence was 0.39 per person year.It was estimated that there would be 5.875 6 million cases of acute gastroenteritis occurred during this year in the area.Logistic regression analysis showed that monthly prevalence in female was higher than in male.The monthly prevalence reached the high level in July and August.The monthly prevalence in preschool children was the highest.The monthly prevalence in rural population was higher than that in the urban population.Besides,the monthly prevalence in those of family number ≥3 was higher than that of family number less than 3.Totally,56.38% of the cases visited docter,and 54.67% of the cases took antibiotics;13.48%reported work absence and 2.13% reported school absence due to the illness.Conclusion The disease burden of acute gastroenteritis could be heavy in Hangzhou -Jiaxing -Huzhou area.Gender,education,season,residence and the size of family may have some effects on the occurrence of acute gastroenteritis.