Objective: To assess the disease burden for low back pain in China in 2013 and analyzed the change of it between 1990 and 2013. Methods: Data was from the Global Burden of Disease Study 2013 (GBD 2013). The burden of low back pain (LBP) among age groups, gender groups, provinces (excluding Taiwan China) groups was assessed by years lived with disability (YLD), including YLD, YLD rate, proportion of YLD due to LBP. The change of the YLD for LBP was analyzed between 1990 and 2013 by age-standardized YLD rate using the world standard population of 2000-2025 WHO. Results: In 2013, The YLD for LBP was 16 347 thousand (the leading cause of YLD in China), and the proportion of YLD in age group 30-59 years old was 54.6% (8 929/16 347) . The age-standardized rate in China was 1 072.6/100 000, and the rates in Guangdong (1 742.2/100 000) , Shanghai (1 227.8/100 000) and Beijing (1 136.6/100 000) were higher than in other provinces. The proportion of YLD due to LBP was 11.8%. LBP was the leading cause of YLD in China. Compared with 1990, the growth rates of age-standardized rate, proportion of YLD and YLD, were 5.6%, 25.5% and 72.1%, desperately. Conclusion: Low back pain was the leading cause of YLD in China in 2013. Compared with 1990, the disease burden for low back pain increased rapidly.
目的： 分析2013年中国人群腰背痛疾病负担并对比与1990年的变化情况。 方法： 利用2013年全球疾病负担研究（Global Burden of Disease Study 2013, GBD 2013）数据，分析2013年中国人群不同年龄、性别、省份（不包括中国台湾）腰背痛所致伤残损失寿命年(years lived with disability，YLD)、YLD率和YLD构成比；使用2000—2025年WHO的世界标准人口对2013年不同省份,以及中国1990和2013年人群腰背痛所致YLD率进行标化，比较中国1990和2013年人群腰背痛所致疾病负担变化情况。 结果： 2013年中国人群腰背痛YLD为1 634.7万人年，是中国人群伤残负担的第一原因。其中30~59岁人群YLD占腰背痛总YLD的54.6%（892.9/1 634.7）；年龄标化YLD率为1 072.6/10万，位于前3位的省份分别是广东（1 742.2/10万）、上海（1 227.8/10万）和北京（1 136.6/10万）；YLD构成比达11.8%，位于总YLD构成顺位的第1位。与1990年相比，2013年中国人群腰背痛标化YLD率上升5.6%，YLD构成比上升25.5%，YLD上升72.1%。 结论： 2013年腰背痛是造成中国人群伤残负担的第1原因；与1990年相比，腰背痛疾病负担上升明显。.
Keywords: Cost of illness; Low back pain; Population surveillance.