Department of Orthopaedics, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Pain. 2019 Jan;160(1):237-245. doi: 10.1097/j.pain.0000000000001396.
The aim of this work was to quantify the prevalence and years lived with disability (YLDs) caused by low back pain (LBP) in China from 1990 to 2016. Data from the GBD 2016 (Global Burden of Diseases, Injuries, and Risk Factors Study 2016) were used. We analyzed the age-sex-province-specific prevalence and YLDs for LBP of 33 provinces/regions in China. Comparisons were made with the data retrieved from the 1990 GBD study. We estimated that 5.45 × 10 individuals had LBP in 1990, which rose to 6.73 × 10 in 2016. The age-standardized prevalence of LBP decreased from 5.6% (95% uncertainty interval [95% UI]: 4.9%-6.3%) in 1990 to 4.2% (95% UI: 3.8%-4.8%) in 2016. The YLDs for LBP increased from 6.2 million (95% UI: 4.3-8.3 million) in 1990 to 7.7 million (95% UI: 5.4-10.2) in 2016. Age-standardized YLD rate (per 100,000 person) decreased from 637.5 (95% UI: 449.9-848.8) in 1990 to 481.9 (95% UI: 338.6-637.0) in 2016. A female preponderance was observed for prevalence and YLDs. The prevalence and YLDs rate for LBP slightly decreased from 1990 to 2016 in China; however, the total individuals and YLDs increased. Low back pain still ranks as the second leading cause of YLD burden disease in China. Considerable attention should be paid for LBP, especially in the female population.
本研究旨在量化 1990 年至 2016 年中国因下背痛（LBP）导致的疾病负担，包括疾病的患病率和伤残损失寿命年（YLDs）。我们使用了来自全球疾病、伤害和危险因素研究 2016（GBD 2016）的数据。分析了中国 33 个省/地区 LBP 的年龄-性别-省份特异性患病率和 YLDs。并与 1990 年 GBD 研究的数据进行了比较。结果显示，1990 年中国有 5.45×10人患有 LBP，到 2016 年增加到 6.73×10人。LBP 的年龄标准化患病率从 1990 年的 5.6%（95%置信区间[95%CI]：4.9%-6.3%）下降到 2016 年的 4.2%（95%CI：3.8%-4.8%）。LBP 的 YLDs 从 1990 年的 620 万（95%CI：430-830 万）增加到 2016 年的 770 万（95%CI：540-1020 万）。LBP 的年龄标准化 YLD 率（每 10 万人）从 1990 年的 637.5（95%CI：449.9-848.8）下降到 2016 年的 481.9（95%CI：338.6-637.0）。患病率和 YLDs 女性均占优势。从 1990 年到 2016 年，中国 LBP 的患病率和 YLD 率略有下降，但总人数和 YLDs 增加。下背痛仍然是中国第二大导致 YLD 负担的疾病。应高度重视 LBP，特别是女性人群。
