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目的:明确急慢性乙肝、乙肝所致肝硬化和肝癌病人年直接经济负担,分析其对家庭经济影响。方法:从在医院住院治疗的乙肝病人中选取调查对象进行问卷调查,并查阅调查对象出院病历登录住院费用。结果:重型乙肝、原发性肝癌、肝硬化失代偿期、代偿期、慢性乙肝和急性乙肝的年直接费用分别为7.72万元、6.64万元、5.21万元、3.35万元、2.16万元和1.91万元。直接费用占家庭年收入的比重从慢性乙肝16.40%上升到重型乙肝94.80%,分析其占人均年收入的比重,原发性肝癌最高,为3.26倍。结论:乙肝给家庭带来沉重的经济负担,积极防控乙肝病毒感染具有巨大的社会效益和经济效益。
Objective: To clarify the direct economic burden of acute and chronic hepatitis B, hepatitis B cirrhosis and liver cancer patients, and analyze their impact on the family economy. Methods: Select the respondents from hepatitis B patients who were hospitalized in the hospital for questionnaire survey, and check the hospitalization expenses of the respondents who were discharged from hospital. Results: The annual direct costs of severe hepatitis B, primary liver cancer, decompensated liver cirrhosis, decompensated chronic hepatitis B and acute hepatitis B were 77,200 yuan, 66,400 yuan, 52,100 yuan, 33,500 yuan, 21,600 yuan respectively Yuan and 19,100 yuan. The proportion of direct costs in family annual income rose from 16.40% of chronic hepatitis B to 94.80% of heavy hepatitis B. The highest proportion of primary liver cancer was 3.26 times as high as that of primary liver cancer. Conclusion: Hepatitis B brings a heavy financial burden to families and has great social and economic benefits in preventing and controlling hepatitis B virus infection.