摘要
目的:系统评价中国人群腰椎间盘突出症(lumbar disc herniation,LDH)的患病率。方法:应用计算机检索中国知网、维普网、万方数据库、中国生物医学文献服务系统、Web of Science、PubMed、Embase和Cochrane Library中关于中国人群LDH患病率的横断面研究文献,检索时限均为2000年1月1日至2022年8月30日。2名研究人员独立进行文献筛选、数据提取和质量评价。采用Stata15.0软件进行数据统计分析。结果:共检索到1449篇文献,通过逐层筛选最终纳入26篇文献,Meta分析结果显示中国人群LDH患病率为6%[95%CI(0.05,0.06)]。基于不同纳入文献的亚组分析结果显示,中国男性和女性LDH的患病率均为4%[95%CI(0.02,0.05),95%CI(0.02,0.05)];中国26~40岁人群LDH的患病率为3%[95%CI(-0.01,0.09)],41~60岁人群LDH的患病率为8%[95%CI(-0.01,0.17)],60岁以上人群LDH的患病率为11%[95%CI(0.07,0.15)];中国人群2006—2010年LDH的患病率为2%[95%CI(0.01,0.02)],2011—2015年LDH的患病率为3%[95%CI(0.01,0.06)],2016—2021年LDH的患病率为12%[95%CI(0.04,0.20)];中国农村居民LDH的患病率为3%[95%CI(0.02,0.03)],城市居民LDH的患病率为8%[95%CI(0.04,0.12)];中国南方人群LDH的患病率为5%[95%CI(0.04,0.06)],北方人群LDH患病率为6%[95%CI(0.04,0.07)]。结论:中国人群LDH的患病率为6%,且中国人群LDH的患病率随年龄增长和年代推移呈上升趋势,城市居民LDH的患病率高于农村居民,北方人群LDH的患病率高于南方人群。
Objective:To systematically review the prevalence rate of lumbar disc herniation(LDH)in the Chinese population.Methods:All the cross-sectional study articles about the prevalence rate of LDH in the Chinese population included from January 1,2000 to August 30,2022 were retrieved from China National Knowledge Internet,Vip Database,Wanfang Database,Chinese Biomedical Literature Service System,Web of science,PubMed,Embase and Cochrane Library through computer.The articles were screened and the information was extracted independently by two researchers according to the inclusion and exclusion criteria.The methodological quality of researches in the articles was evaluated by using quality evaluation criteria for cross-sectional studies recommended by The Agency for Healthcare Research and Quality(AHRQ),and a Meta-analysis was conducted by using Stata15.0 software.Results:One thousand four hundred and forty-nine articles were searched out.After screening,26 ones were included in the final analysis.The results of Meta-analysis revealed that the prevalence rate of LDH was 6%in the Chinese population(95%CI(0.05,0.06)).The subgroup analysis was conducted based on the different included articles,and the results showed that the prevalence rates of LDH were 4%in both males and females in China(95%CI(0.02,0.05),95%CI(0.02,0.05)).The prevalence rate of LDH was 3%in the Chinese population aged from 26 to 40 years old(95%CI(-0.01,0.09)),8%in the ones aged from 41 to 60 years old(95%CI(-0.01,0.17)),and 11%in the ones aged over 60 years old(95%CI(0.07,0.15)).The prevalence rate of LDH was 2%in the Chinese population from 2006 to 2010(95%CI(0.01,0.02)),3%from 2011 to 2015(95%CI(0.01,0.06)),and 12%from 2016 to 2021(95%CI(0.04,0.20)).The prevalence rate of LDH was 3%in the Chinese rural residents(95%CI(0.02,0.03)),and 8%in the Chinese urban residents(95%CI(0.04,0.12)).The prevalence rate of LDH was 5%in the southern Chinese population(95%CI(0.04,0.06)),and 6%in the northern Chinese population(95%CI(0.04,0.07)).Conclusion:The prevalence
作者
徐波
黄泽灵
张龙
沈晓峰
陈华
陆斌杰
蔡学峰
李宇卫
XU Bo;HUANG Zeling;ZHANG Long;SHEN Xiaofeng;CHEN Hua;LU Binjie;CAI Xuefeng;LI Yuwei(Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Suzhou 215009,Jiangsu,China)
出处
《中医正骨》
2023年第9期17-23,共7页
The Journal of Traditional Chinese Orthopedics and Traumatology
基金
国家自然科学基金项目(82174399)
江苏省基础研究计划(青年基金和面上项目)项目(BK20211084)
江苏省中医药科技发展计划项目(QN202007)
苏州市中西医结合科研基金项目(SKJYD2021227)。
关键词
椎间盘移位
腰椎
患病率
流行病学研究
专题Meta分析
intervertebral disc displacement
lumbar vertebrae
prevalence
epidemiologic studies
meta-analysis as topic
