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1990-2021年中国道路交通伤害导致创伤性脑损伤疾病负担分析

唐宁 Helen NGUYEN 张京张馨艺 Rebecca IVERS Julie BROWN 叶鹏鹏田懋一王文晗金叶严光灿田伟辛雨泽梁金玉彭俊祎刘鑫妍

医学新知2026，Vol.36Issue(6)：665-671,中插6-中插11,13.

医学新知2026，Vol.36Issue(6)：665-671,中插6-中插11,13.DOI:10.12173/j.issn.1004-5511.202601125

1990-2021年中国道路交通伤害导致创伤性脑损伤疾病负担分析

Analysis of disease burden of road injury-related traumatic brain injury in China from 1990 to 2021

唐宁 ¹Helen NGUYEN ²张京 ¹张馨艺 ³Rebecca IVERS ⁴Julie BROWN ²叶鹏鹏 ⁵田懋一 ⁶王文晗 ⁷金叶 ⁵严光灿 ¹田伟 ⁸辛雨泽 ¹梁金玉 ¹彭俊祎 ¹刘鑫妍¹

作者信息

1. 哈尔滨医科大学公共卫生学院(哈尔滨 150000)
2. 新南威尔士大学医学与健康学院乔治全球健康研究院(澳大利亚悉尼 2000)
3. 哈尔滨医科大学公共卫生学院(哈尔滨 150000)||哈尔滨医科大学附属第二医院全科医疗科(哈尔滨 150000)
4. 新南威尔士大学医学与健康学院乔治全球健康研究院(澳大利亚悉尼 2000)||新南威尔士大学医学与健康学院人口健康学院(澳大利亚悉尼 2000)
5. 中国疾病预防控制中心慢性非传染性疾病预防控制中心(北京 100050)
6. 哈尔滨医科大学公共卫生学院(哈尔滨 150000)||中国疾病预防控制中心地方病控制中心(哈尔滨 150000)||国家卫生健康委病因流行病学重点实验室(哈尔滨 150000)||黑龙江省微量元素与人类健康重点实验室(哈尔滨 150000)||哈尔滨医科大学附属第二医院全科医疗科(哈尔滨 150000)
7. 河南中医药大学第五临床医学院(郑州人民医院)(郑州 450000)
8. 中国疾病预防控制中心地方病控制中心(哈尔滨 150000)||国家卫生健康委病因流行病学重点实验室(哈尔滨 150000)||黑龙江省微量元素与人类健康重点实验室(哈尔滨 150000)
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摘要

Abstract

Objective To characterize the disease burden and trends of road injury-related traumatic brain injury(RI-TBI)in China from 1990 to 2021.Methods Using data from the Global Burden of Disease Study 2021,the RI-TBI incidence,prevalence,and years lived with disability(YLD)for China and its 33 provincial-level administrative divisions between 1990 and 2021 were estimated.Temporal trends were evaluated by calculating the estimated annual percentage change(EAPC)in age-standardized rates.Stratified analysis was conducted by age,gender,province,and road-user category.Results In 2021,the age-standardized incidence rate(ASIR)of RI-TBI for China was 86.63 per 100,000,and the age-standardized prevalence rate(ASPR)was 197.23 per 100,000,age-standardized YLD rate(ASYR)was 29.70 per 100,000 person-years.From 1990 to 2021,the ASIR decreased in females[EAPC=-0.88,95%CI(-1.35,-0.40)]but remained essentially stable in males[EAPC=0.09,95%CI(-0.24,0.41)].Similarly,the ASPR declined in females[EAPC=-0.72,95%CI(-1.03,-0.41)]and showed a slight,non-significant increase among males[EAPC=0.18,95%CI(-0.03,0.40)].Provincial trend analyses showed increasing ASPR of RI-TBI in Jiangsu and Shanxi provinces.By road-user category,the disease burden of pedestrian-related RI-TBI was the greatest.Conclusion From 1990 to 2021,the absolute burden of RI-TBI in China increased,whereas age-standardized rates were generally stable or declined.The burden of RI-TBI in China varies markedly across provinces and by injury type.Targeted interventions and prevention strategies that account for demographic and geographic heterogeneity should be developed and implemented to reduce incidence and overall disease burden.

关键词

创伤性脑损伤/道路交通伤害/疾病负担/发病率/患病率

Key words

Traumatic brain injury/Road traffic injury/Disease burden/Incidence/Prevalence

分类

医药卫生

引用本文复制引用

唐宁,Helen NGUYEN,张京,张馨艺,Rebecca IVERS,Julie BROWN,叶鹏鹏,田懋一,王文晗,金叶,严光灿,田伟,辛雨泽,梁金玉,彭俊祎,刘鑫妍..1990-2021年中国道路交通伤害导致创伤性脑损伤疾病负担分析[J].医学新知,2026,36(6):665-671,中插6-中插11,13.

基金项目

哈尔滨医科大学领军人才资助项目(31021220002) （31021220002）

医学新知

ISSN：1004-5511

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