美国上肢截肢的流行病学:对全球疾病负担数据库 (1990-2019) 的分析
Ambrose Loc T Ngo1, Cameron J Sabet2, Gabrielle Dykhouse3
1College of Osteopathic Medicine, Kansas City University, Joplin, USA.
Cureus
|December 22, 2025
概括
从1990年到2019年,上肢截肢在美国显著下降. 男性的发病率高于女性,东北地区的病例最多,南部的病例最少.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 康复医学 康复医学 康复医学
背景情况:
- 上肢截肢 (UEA) 带来了重大的医疗,心理和功能挑战.
- 了解人口和地理趋势对于有针对性的干预至关重要.
研究的目的:
- 分析美国单边和双边UEA的区域和性别特定趋势.
- 评估1990年至2019年残疾生活年数,患病率和发病率的变化.
主要方法:
- 利用全球疾病负担 (GBD) 数据库为美国数据 (1990-2019).
- 分析了每10万人口的YLD,流行率和发病率.
- 根据美国人口普查局的四个地区和性别分类的分层数据,评估统计学意义 (p<0.05).
主要成果:
- 总体而言,UEA (单边和双边) 在1990年至2019年期间大幅下降.
- 与女性相比,男性始终表现出较高的YLD,UEA的流行率和发病率 (p<0.001).
- 东北地区报告的截肢率最高,而南方报告的截肢率最低.
结论:
- 在过去的三十年中,美国观察到UEA负担 (YLDs,流行率,发病率) 的大幅下降.
- 仍然存在显著的性别差异,男性受到的影响不成比例.
- 区域差异突显出需要针对地理位置量身定制的公共卫生战略来预防和管理UEA.
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