【摘要】 目的了解我国呼吸系统疾病流行情况及其经济负担。方法通过两周患病率、两周就诊率、慢病患病率、疾病别住院率、死亡率等指标分析比较呼吸系统疾病负担现状和变化情况。结果呼吸系统疾病两周就诊率从2003年的51.4‰降至2013年的27.0‰;两周患病率从2003年的52.6‰降至2013年的41.3‰;呼吸系统慢性病患病率从2003年的15.5‰升至2013年的15.6‰;住院率从2003年的4.2‰升至2013年的13.3‰;农村地区死亡率由2005年的123.79/10万,降为2015年的79.96/10万,城市地区死亡率基本无变化;呼吸系统疾病住院患者人均医药费用从2012年的4 109.6元增长至2016年的5 666.32元。结论 2003至2013年间,呼吸系统疾病两周就诊率和两周患病率显著下降,呼吸系统慢性疾病患病率和住院率显著增长;2005至2015年间,农村地区死亡率显著下降而城市基本无变化;鉴于疾病统计口径的原因,肺癌、结核、流感、尘肺等未归口在呼吸系统疾病。因此,呼吸系统疾病的负担和危害是被严重低估的。更多还原

【Abstract】 Objective To understand the prevalence of respiratory diseases and its economic burden in China. Methods The status and changes of respiratory disease burden were compared by two-week prevalence, two-week visit rate, chronic disease prevalence, disease hospitalization rate, and mortality. Results The two-week visit rate of respiratory diseases decreased from 51.4‰ in 2003 to 27.0‰ in 2013; the two-week prevalence decreased from 52.6‰ in 2003 to 41.3‰ in2013; the prevalence of chronic respiratory diseases from 2003 15.5‰ rose to 15.6‰ in 2013; the hospitalization rate rose from 4.2‰ in 2003 to 13.3‰ in 2013; the death rate in rural areas dropped from 123.79 per 100,000 in 2005 to 79.96 per100,000 in 2015, the mortality rate in urban areas is basically unchanged; the per capita medical expenses of hospitalized patients with respiratory diseases increased from 4109.6 yuan in 2012 to 5668.32 yuan in 2016. Conclusion Between 2003 and 2013, the two-week visit rate and the two-week prevalence of respiratory diseases decreased significantly, and the prevalence of respiratory diseases and hospitalization rates increased significantly. Between 2005 and 2015, the mortality rate in rural areas decreased significantly. There is basically no change; in view of the disease statistics, lung cancer, tuberculosis, influenza, pneumoconiosis, etc. are not classified as respiratory diseases. Therefore, the burden and harm of respiratory diseases are seriously underestimated.更多还原