1990-2021年,全球性麻性和肠道阻塞的负担:GBD 2021年分析
Yan-Ci Zhao1, Hanpu Zhang2, Shuzhen Wu1
1Department of Radiology, The First Affiliated Hospital, Zhejiang University School of Medicine, No.79 Qingchun Road, Hangzhou, 310003, Zhengjiang, China.
Journal of health, population, and nutrition
|August 18, 2025
概括
麻性大肠和肠道阻塞 (PI&IO) 是一个重大的全球健康挑战. 高收入地区面临更高的发病率,而低收入国家承受更大的死亡负担,需要有针对性的干预措施.
科学领域:
- 全球健康 全球健康
- 手术紧急情况 手术紧急情况
- 流行病学 流行病学
背景情况:
- 麻性大肠和肠道阻塞 (PI&IO) 代表了具有重大全球发病率和死亡率的关键手术紧急情况.
- 了解PI&IO的流行病学负担对于制定有效的公共卫生战略至关重要.
研究的目的:
- 从1990年到2021年全面评估PI&IO的全球,区域和国家负担.
- 分析不同的人口统计和社会经济背景的发病率和失去了生命年 (YLLs) 的趋势.
主要方法:
- 利用了2021年全球疾病负担研究 (GBD) 的数据,涵盖了204个国家和地区.
- 估计发生病例,YLL和年龄标准化率 (发生率和YLL),按年龄,性别,地区和社会人口指数 (SDI) 分层.
主要成果:
- 在2021年,全球约有1580万PI&IO病例和650万YLL被记录.
- 年龄标准化发病率 (ASIR) 保持稳定,而年龄标准化YLLs率 (ASYR) 略有下降. 在ASIR和ASYR中观察到显著的区域和国家差异.
- 婴儿和老年人的负担最高,婴儿的年龄LL数量下降. ASYR与SDI正相关,而ASYR显示出负相关.
结论:
- 在全球范围内,PI&IO继续给全球健康带来相当大的负担,其特点在于地区和社会经济差异显著.
- 改进的检测有助于在高SDI地区的发病率更高,而低SDI国家因有限的医疗保健机会而面临高YLL.
- 针对性公共卫生战略,重点关注早期干预,医疗保健基础设施和弱势群体,对于减轻可预防的死亡率至关重要.
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