{"id":3058,"date":"2012-12-15T22:44:00","date_gmt":"2012-12-15T22:44:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=3058"},"modified":"2025-01-16T19:49:49","modified_gmt":"2025-01-16T19:49:49","slug":"years-lived-with-disability-ylds-for-1160-sequelae-of-289-diseases-and-injuries-1990-2010-a-systematic-analysis-for-the-global-burden-of-disease-study-2010","status":"publish","type":"post","link":"https:\/\/cdafound.org\/zh\/years-lived-with-disability-ylds-for-1160-sequelae-of-289-diseases-and-injuries-1990-2010-a-systematic-analysis-for-the-global-burden-of-disease-study-2010\/","title":{"rendered":"1990 \u5e74\u81f3 2010 \u5e74 289 \u79cd\u75be\u75c5\u548c\u635f\u4f24\u7684 1160 \u4e2a\u540e\u9057\u75c7\u60a3\u8005\u7684\u6b8b\u75be\u751f\u5b58\u5e74\u9650 (YLD)\uff1a2010 \u5e74\u5168\u7403\u75be\u75c5\u8d1f\u62c5\u7814\u7a76\u7684\u7cfb\u7edf\u5206\u6790"},"content":{"rendered":"<h2 class=\"wp-block-heading\">\u6982\u62ec<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">\u80cc\u666f <\/h3>\n\n\n\n<p>\u75be\u75c5\u548c\u4f24\u5bb3\u9020\u6210\u7684\u975e\u81f4\u547d\u6027\u5065\u5eb7\u7ed3\u679c\u662f\u4fc3\u8fdb\u548c\u76d1\u6d4b\u4e2a\u4eba\u53ca\u4eba\u53e3\u5065\u5eb7\u7684\u5173\u952e\u8003\u8651\u56e0\u7d20\u30021990\u5e74\u548c2000\u5e74\u8fdb\u884c\u7684\u5168\u7403\u75be\u75c5\u8d1f\u62c5\uff08GBD\uff09\u7814\u7a76\u662f\u552f\u4e00\u5728\u5168\u7403\u548c\u533a\u57df\u5c42\u9762\u5bf9\u4e00\u7cfb\u5217\u8be6\u5c3d\u75be\u75c5\u7684\u975e\u81f4\u547d\u6027\u5065\u5eb7\u7ed3\u679c\u8fdb\u884c\u91cf\u5316\u7684\u7814\u7a76\u3002\u8fd9\u4e24\u9879\u7814\u7a76\u5747\u672a\u91cf\u5316\u60a3\u75c5\u7387\u6216\u6b8b\u75be\u751f\u5b58\u5e74\u6570\uff08YLD\uff09\u7684\u4e0d\u786e\u5b9a\u6027\u3002 <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u65b9\u6cd5 <\/h3>\n\n\n\n<p>\u5728 GBD \u75c5\u56e0\u5217\u8868\u4e2d\u7684 291 \u79cd\u75be\u75c5\u548c\u635f\u4f24\u4e2d\uff0c289 \u79cd\u5bfc\u81f4\u6b8b\u75be\u3002\u5bf9\u4e8e\u8fd9 289 \u79cd\u75be\u75c5\u548c\u635f\u4f24\u4e2d\u7684 1160 \u79cd\u540e\u9057\u75c7\uff0c\u6211\u4eec\u5bf9\u5176\u60a3\u75c5\u7387\u3001\u53d1\u75c5\u7387\u3001\u7f13\u89e3\u7387\u3001\u6301\u7eed\u65f6\u95f4\u548c\u8d85\u989d\u6b7b\u4ea1\u7387\u8fdb\u884c\u4e86\u7cfb\u7edf\u5206\u6790\u3002\u6570\u636e\u6765\u6e90\u5305\u62ec\u5df2\u53d1\u8868\u7684\u7814\u7a76\u3001\u75c5\u4f8b\u901a\u77e5\u3001\u57fa\u4e8e\u4eba\u7fa4\u7684\u764c\u75c7\u767b\u8bb0\u5904\u3001\u5176\u4ed6\u75be\u75c5\u767b\u8bb0\u5904\u3001\u4ea7\u524d\u8bca\u6240\u8840\u6e05\u76d1\u6d4b\u3001\u533b\u9662\u51fa\u9662\u6570\u636e\u3001\u95e8\u8bca\u62a4\u7406\u6570\u636e\u3001\u5bb6\u5ead\u8c03\u67e5\u3001\u5176\u4ed6\u8c03\u67e5\u548c\u961f\u5217\u7814\u7a76\u3002\u5bf9\u4e8e\u5927\u591a\u6570\u540e\u9057\u75c7\uff0c\u6211\u4eec\u4f7f\u7528\u4e86\u8d1d\u53f6\u65af\u5143\u56de\u5f52\u65b9\u6cd5 DisMod-MR\uff0c\u65e8\u5728\u89e3\u51b3\u63cf\u8ff0\u6027\u6d41\u884c\u75c5\u5b66\u6570\u636e\u4e2d\u7684\u5173\u952e\u5c40\u9650\u6027\uff0c\u5305\u62ec\u7f3a\u5931\u6570\u636e\u3001\u4e0d\u4e00\u81f4\u548c\u6570\u636e\u6e90\u4e4b\u95f4\u7684\u5de8\u5927\u65b9\u6cd5\u5b66\u5dee\u5f02\u3002\u5bf9\u4e8e\u67d0\u4e9b\u75be\u75c5\uff0c\u6211\u4eec\u4f7f\u7528\u4e86\u81ea\u7136\u53f2\u6a21\u578b\u3001\u5730\u7406\u7a7a\u95f4\u6a21\u578b\u3001\u53cd\u7b97\u6a21\u578b\uff08\u6839\u636e\u4eba\u53e3\u6b7b\u4ea1\u7387\u548c\u75c5\u6b7b\u7387\u8ba1\u7b97\u53d1\u75c5\u7387\u7684\u6a21\u578b\uff09\u6216\u767b\u8bb0\u5b8c\u6574\u6027\u6a21\u578b\uff08\u6839\u636e\u536b\u751f\u7cfb\u7edf\u8bbf\u95ee\u548c\u5176\u4ed6\u534f\u53d8\u91cf\u8c03\u6574\u4e0d\u5b8c\u6574\u767b\u8bb0\u7684\u6a21\u578b\uff09\u3002\u6211\u4eec\u4f7f\u7528220\u4e2a\u4e0d\u540c\u5065\u5eb7\u72b6\u51b5\u7684\u6b8b\u75be\u6743\u91cd\u6765\u8861\u91cf\u5065\u5eb7\u635f\u5931\u7684\u4e25\u91cd\u7a0b\u5ea6\u3002\u6211\u4eec\u5229\u7528\u6a21\u62df\u65b9\u6cd5\uff0c\u6839\u636e\u5e74\u9f84\u3001\u6027\u522b\u3001\u56fd\u5bb6\u548c\u5e74\u4efd\u7b49\u56e0\u7d20\uff0c\u5bf9\u4e0d\u540c\u539f\u56e0\u9020\u6210\u7684\u6b8b\u75be\u635f\u5931\u8fdb\u884c\u4e86\u8c03\u6574\uff0c\u4ee5\u8bc4\u4f30\u5408\u5e76\u75c7\u3002\u6211\u4eec\u5728\u5206\u6790\u7684\u5404\u4e2a\u9636\u6bb5\u90fd\u7eb3\u5165\u4e86\u4e0d\u786e\u5b9a\u6027\u4f30\u8ba1\u3002 <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u53d1\u73b0 <\/h3>\n\n\n\n<p>2010 \u5e74\uff0c\u5168\u7403\u6240\u6709\u5e74\u9f84\u6bb5\u7684 1160 \u79cd\u540e\u9057\u75c7\u7684\u60a3\u75c5\u7387\u4ece\u6bcf\u767e\u4e07\u4eba\u4e0d\u5230\u4e00\u4f8b\u5230\u6bcf\u767e\u4e07\u4eba 35 \u4e07\u4f8b\u4e0d\u7b49\u3002\u60a3\u75c5\u7387\u548c\u5065\u5eb7\u635f\u5931\u7684\u4e25\u91cd\u7a0b\u5ea6\u5448\u5f31\u76f8\u5173\u6027\uff08\u76f8\u5173\u7cfb\u6570\u4e3a -0.37\uff09\u30022010 \u5e74\uff0c\u5404\u79cd\u539f\u56e0\u9020\u6210\u7684\u6b7b\u4ea1\u635f\u5931\u4e3a 7.77 \u4ebf\uff0c\u9ad8\u4e8e 1990 \u5e74\u7684 5.83 \u4ebf\u3002\u5168\u7403\u6b7b\u4ea1\u635f\u5931\u7684\u4e3b\u8981\u539f\u56e0\u662f\u7cbe\u795e\u548c\u884c\u4e3a\u969c\u788d\u3001\u808c\u8089\u9aa8\u9abc\u75be\u75c5\u4ee5\u53ca\u7cd6\u5c3f\u75c5\u6216\u5185\u5206\u6ccc\u75be\u75c5\u30022010 \u5e74\u6b7b\u4ea1\u635f\u5931\u7684\u4e3b\u8981\u5177\u4f53\u539f\u56e0\u4e0e 1990 \u5e74\u5927\u81f4\u76f8\u540c\uff1a\u8170\u75db\u3001\u91cd\u5ea6\u6291\u90c1\u75c7\u3001\u7f3a\u94c1\u6027\u8d2b\u8840\u3001\u9888\u75db\u3001\u6162\u6027\u963b\u585e\u6027\u80ba\u75c5\u3001\u7126\u8651\u75c7\u3001\u504f\u5934\u75db\u3001\u7cd6\u5c3f\u75c5\u548c\u8dcc\u5012\u3002\u6240\u6709\u5730\u533a\u7684\u5e74\u9f84\u522b\u5bff\u547d\u635f\u5931\u5e74\uff08YLD\uff09\u60a3\u75c5\u7387\u5747\u968f\u5e74\u9f84\u589e\u957f\u800c\u4e0a\u5347\uff0c\u4e14\u57281990\u5e74\u81f32010\u5e74\u95f4\u7565\u6709\u4e0b\u964d\u3002\u4e0e\u8fc7\u65e9\u6b7b\u4ea1\u5bfc\u81f4\u7684\u5bff\u547d\u635f\u5931\u5e74\u76f8\u6bd4\uff0cYLD\u4e3b\u8981\u539f\u56e0\u7684\u533a\u57df\u6a21\u5f0f\u66f4\u4e3a\u76f8\u4f3c\u3002\u88ab\u5ffd\u89c6\u7684\u70ed\u5e26\u75c5\u3001\u827e\u6ecb\u75c5\u6bd2\/\u827e\u6ecb\u75c5\u3001\u7ed3\u6838\u75c5\u3001\u759f\u75be\u548c\u8d2b\u8840\u662f\u6492\u54c8\u62c9\u4ee5\u5357\u975e\u6d32\u5730\u533aYLD\u7684\u91cd\u8981\u539f\u56e0\u3002 <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u89e3\u91ca <\/h3>\n\n\n\n<p>\u6bcf\u5341\u4e07\u4eba\u7684\u75be\u75c5\u635f\u5931\u5e74\u7387\uff08YLD\uff09\u968f\u65f6\u95f4\u63a8\u79fb\u57fa\u672c\u4fdd\u6301\u4e0d\u53d8\uff0c\u4f46\u968f\u7740\u5e74\u9f84\u589e\u957f\u800c\u7a33\u6b65\u4e0a\u5347\u3002\u8fc7\u53bb\u4e8c\u5341\u5e74\uff0c\u4eba\u53e3\u589e\u957f\u548c\u8001\u9f84\u5316\u5bfc\u81f4\u75be\u75c5\u635f\u5931\u5e74\u6570\u548c\u7c97\u7387\u4e0a\u5347\u3002\u5bfc\u81f4\u75be\u75c5\u635f\u5931\u5e74\u7684\u6700\u5e38\u89c1\u539f\u56e0\uff0c\u4f8b\u5982\u7cbe\u795e\u548c\u884c\u4e3a\u969c\u788d\u4ee5\u53ca\u808c\u8089\u9aa8\u9abc\u75be\u75c5\uff0c\u60a3\u75c5\u7387\u5e76\u672a\u4e0b\u964d\u3002\u536b\u751f\u7cfb\u7edf\u9700\u8981\u6ee1\u8db3\u65e5\u76ca\u589e\u591a\u7684\u5404\u7c7b\u75be\u75c5\u60a3\u8005\u7684\u9700\u6c42\uff0c\u8fd9\u4e9b\u75be\u75c5\u4e3b\u8981\u5bfc\u81f4\u6b8b\u75be\u800c\u975e\u6b7b\u4ea1\u3002\u91cf\u5316\u975e\u81f4\u547d\u6027\u5065\u5eb7\u7ed3\u679c\u7684\u8d1f\u62c5\u5bf9\u4e8e\u4e86\u89e3\u536b\u751f\u7cfb\u7edf\u5e94\u5bf9\u8fd9\u4e9b\u6311\u6218\u7684\u6210\u6548\u81f3\u5173\u91cd\u8981\u3002\u5236\u5b9a\u6709\u6548\u4e14\u7ecf\u6d4e\u5b9e\u60e0\u7684\u7b56\u7565\u6765\u5e94\u5bf9\u8fd9\u4e00\u65e5\u76ca\u52a0\u91cd\u7684\u8d1f\u62c5\uff0c\u662f\u4e16\u754c\u5927\u591a\u6570\u5730\u533a\u536b\u751f\u7cfb\u7edf\u7684\u5f53\u52a1\u4e4b\u6025\u3002<\/p>\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-text-color wp-element-button\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23245607\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u9605\u8bfb\u5b8c\u6574\u62a5\u544a<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Summary Background Non-fatal health outcomes from diseases and injuries are a crucial consideration in the promotion and monitoring of individual and population health. The Global Burden of Disease (GBD) studies done in 1990 and 2000 have been the only studies to quantify non-fatal health outcomes across an exhaustive set of disorders at the global and 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