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目的了解农村慢性阻塞性肺疾病(CODP)患者的疾病负担。方法采取自主设计的调查问卷,对383例COPD患者进行面对面的访问,并结合查阅患者病历,和乡、村门诊日志及住院记录等进行调查。结果铜山县COPD患者家庭的人均年收入为3 600元,年直接经济负担的中位数为1 090元,性别以及各年龄组差异无统计学意义(P>0.05)。中青年组和老年组的住院费差异有统计学意义(P<0.05),老年组的门诊费高于其他年龄组(P<0.05)。结论铜山县COPD患者的直接经济负担是调查人群家庭人均年收入的近1/3,COPD给该地区人口造成的直接经济负担是巨大的。因此,政府应及时制订相应政策,促使病有所医。
Objective To understand the disease burden in rural patients with chronic obstructive pulmonary disease (CODP). Methods A self-designed questionnaire was used to interview 383 patients with COPD and to investigate the patient’s medical history, township and village clinics log and hospital records. Results The annual per capita income of COPD patients in Tongshan County was 3 600 yuan, and the median annual direct economic burden was 1 090 yuan. There was no significant difference in sex and age groups (P> 0.05). There was a significant difference in hospitalization expenses between the young and middle-aged groups and the elderly group (P <0.05). The out-patient expenses of the elderly group was higher than other age groups (P <0.05). Conclusions The direct economic burden of patients with COPD in Tongshan County is nearly one-third of the annual per-capita income of the surveyed population. The direct economic burden of COPD to the population in this area is enormous. Therefore, the government should make corresponding policies in a timely manner so as to urge patients to seek medical treatment.