首页|1990年和2019年中国孕产妇流产疾病负担分析

1990年和2019年中国孕产妇流产疾病负担分析

Disease burden of maternal abortion in China in 1990 and 2019

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目的 分析1990 年和2019 年中国孕产妇流产疾病负担情况.方法 利用 2019 年全球疾病负担数据库,分析1990 年和2019 年我国孕产妇总人群、不同年龄组的流产发病、伤残调整寿命年(DALY)、过早死亡损失寿命年(YLL)情况.结果 2019 年中国孕产妇流产发病人数为514.96 万,发病率为738.26/10 万,较1990 年分别减少了56.64%和64.35%.2019 年中国孕产妇流产的DALY和DALY率分别为 5600.30 万人年和0.80/10 万,较1990 年分别下降了91.90%和 93.36%.2019 年孕产妇发病率和DALY率最高的年龄组均为20~24 岁组,其次为25~29 岁组和30~34 岁组.2019 年的中国孕产妇流产的标化发病率为822.82/10 万,标化DALY率为0.88/10 万,明显低于全球平均水平(1098.36/10 万、28.86/10 万).结论 我国孕产妇流产的疾病负担在1990 至2019 年间有较大降低,除育龄期外,15~19 岁组流产率占比不容忽视,应将该年龄组作为重点人群制定干预措施,加强未成年人性教育知识的普及,以进一步降低孕产妇流产疾病负担.
Objective To analyze the incidence and disease burden of maternal abortion in China in 1990 and 2019.Methods The 2019 Global Burden of Disease database was used to analyze the incidence of miscarriage,disability-adjusted life(DALY),and life lost for premature death(YLL)in the total maternal population and different age groups in China in 1990 and 2019.Results In 2019,the number of maternal miscarriages in China was 5149600,and the incidence rate was 7382600 per 100000,a decrease of 56.64% and 64.35% respectively from 1990.In 2019,the DALY and DALY rates of maternal abortion in China were 56.003 million person-years and 0.80/100000,respectively,a decrease of 91.90% and 93.36% from 1990.In 2019,the age group with the highest maternal incidence rate and DALY rate was 20~24 years old,followed by 25~29 years old and 30~34 years old.In 2019,the standardized incidence rate of maternal abortion in China was 822.82/100000,and the standardized DALY rate was 0.88/100000,which was significantly lower than the global average(1098.36/100000 and 28.86/100000).Conclusion The disease burden of miscarriage among pregnant and postpartum women in China has significantly decreased between 1990 and 2019,In addition to the childbearing age,the proportion of abortion rate in the 15~19 years old group cannot be ignored.Therefore,intervention measures should be developed to focus on this age group and strengthen the popularization of sexual education knowledge for minors,in order to further reduce the disease burden of miscarriage among pregnant and postpartum women.

maternal abortiondisease burdendisability-adjusted life years

叶丽娟、黄丽娟、叶球仙

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528415 广东 中山,南方医科大学附属小榄医院妇产科

孕产妇流产 疾病负担 伤残调整寿命年

2023

中国计划生育和妇产科
中国医师协会 四川省医学情报研究所

中国计划生育和妇产科

CSTPCD
影响因子:1.116
ISSN:1674-4020
年,卷(期):2023.15(12)
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