摘要
目的:系统评价中国50岁以上人群白内障的患病率,为白内障的防治提供依据。方法:计算机检索CNKI、WanFang Data、VIP、CBM、PubMed、EMbase、Web of Science核心合集及The Cochrane Library,检索与中国50岁以上人群白内障患病率相关的横断面研究,检索时限设定为2015年1月1日-2020年7月2日。采用Stata 16.0软件对符合纳入标准的文献进行Meta分析。结果:最终纳入19篇文献,总样本量为76 856。研究结果显示,我国50岁以上人群白内障的患病率为37.3%[95%CI(31.6%,42.9%)]。以地区、性别、年龄以及城乡居民作为分组因素进行亚组分析,海拔500米以下地区白内障的患病率为33.4%[95%CI(26.8%,40.1%)],海拔500米以上地区的患病率为34.3%[95%CI(24.1%,44.5%)];南方26.1%[95%CI(20.2%,32.1%)]低于北方45.5%[95%CI(37.2%,53.9%)];女性白内障患病率38.4%[95%CI(30.5%,46.2%)]高于男性33.1%[95%CI(25.1%,41.1%)];50~59岁的白内障患病率为16.3%[95%CI(11.0%,21.5%)],60~69岁为35.5%[95%CI(26.8%,44.2%)],70~79岁为55.5%[95%CI(46.2%,64.8%)],80岁以上为71.1%[95%CI(60.9%,81.2)];城镇居民的白内障患病率32.7%[95%CI(16.0%,49.5%)]低于农村居民40.7%[95%CI(19.5%,62.0%)]。结论:我国50岁以上人群白内障的患病率较高,仍需要进行高质量的流行病学调查以监测白内障的患病率。
Objective:To systematically evaluate the prevalence of cataract in Chinese people over 50 years old,and to provide basis for the prevention and treatment of cataract.Method:CNKI,WanFang Data,VIP,CBM,PubMed,EMbase,Web of Science core Collection and The Cochrane Library were searched by computer to retrieve cross-sectional studies related to cataract prevalence in Chinese population over 50 years old.The retrieval time is set from January 1,2015 to July 2,2020.Stata 16.0 software was used to conduct meta-analysis on the literatures that met the inclusion criteria.Result:Finally,19 articles were included with a total sample size of 76856.The results showed that the prevalence of cataract was 37.3%[95%CI(31.6%,42.9%)].The subgroup analysis was conducted with region,sex,age and urban and rural residents as grouping factors.The prevalence of cataract was 33.4%[95%CI(26.8%,40.1%)]in areas below 500 meters above sea level,and 34.3%[95%CI(24.1%,44.5%)]in areas above 500 meters above sea level.26.1%[95%CI(20.2%,32.1%)]in the South was lower than 45.5%[95%CI(37.2%,53.9%)]in the north.The prevalence of cataract in women was 38.4%[95%CI(30.5%,46.2%)]higher than 33.1%[95%CI(25.1%,41.1%)]in men.The prevalence of cataract was 16.3%[95%CI(11.0%,21.5%)]in 50-59 years old,35.5%[95%CI(26.8%,44.2%)]in 60-69 years old,55.5%[95%CI(46.2%,64.8%)]in 70-79 years old,71.1%[95%CI(19.5%,62.0%)]in over 80 years old.The prevalence of cataract in urban residents was 32.7%[95%CI(16.0%,49.5%)]was lower than 40.7%[95%CI(19.5%,62.0%)]in rural residents.Conclusion:The prevalence of cataract is high in people over 50 years old in China,and high-quality epidemiological investigation is still needed to monitor the prevalence of cataract.
作者
刘艳
余雨枫
易文琳
王雨慧
王镜美
LIU Yan;YU Yufeng;YI Wenlin;WANG Yuhui;WANG Jingmei(College of Nursing,Chengdu University of TCM,Chengdu 610075,China;不详)
出处
《中国医学创新》
CAS
2020年第35期155-159,共5页
Medical Innovation of China
