84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]徐波,黃澤靈,張龍,等.中國人群腰椎間盤突出癥患病率的Meta分析[J].中醫(yī)正骨,2023,35(09):17-23.
　XU Bo,HUANG Zeling,ZHANG Long,et al.Prevalence rate of lumbar disc herniation in the Chinese population:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(09):17-23.
點(diǎn)擊復(fù)制

中國人群腰椎間盤突出癥患病率的Meta分析()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年09期
頁碼:
17-23
欄目:
文獻(xiàn)研究
出版日期:
2023-09-20

文章信息/Info

Title:
Prevalence rate of lumbar disc herniation in the Chinese population:a meta-analysis
作者:
徐波; 黃澤靈; 張龍; 沈曉峰; 陳華; 陸斌杰; 蔡學(xué)峰; 李宇衛(wèi)
南京中醫(yī)藥大學(xué)附屬蘇州市中醫(yī)醫(yī)院,江蘇 蘇州 215009
Author(s):
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
關(guān)鍵詞:
椎間盤移位;  腰椎;  患病率;  流行病學(xué)研究;  專題Meta分析
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  prevalence;  epidemiologic studies;  meta-analysis as topic
摘要:
目的:系統(tǒng)評(píng)價(jià)中國人群腰椎間盤突出癥(lumbar disc herniation,LDH)的患病率。方法:應(yīng)用計(jì)算機(jī)檢索中國知網(wǎng)、維普網(wǎng)、萬方數(shù)據(jù)庫、中國生物醫(yī)學(xué)文獻(xiàn)服務(wù)系統(tǒng)、Web of Science、PubMed、Embase和Cochrane Library中關(guān)于中國人群LDH患病率的橫斷面研究文獻(xiàn),檢索時(shí)限均為2000年1月1日至2022年8月30日。2名研究人員獨(dú)立進(jìn)行文獻(xiàn)篩選、數(shù)據(jù)提取和質(zhì)量評(píng)價(jià)。采用Stata15.0軟件進(jìn)行數(shù)據(jù)統(tǒng)計(jì)分析。結(jié)果:共檢索到1449篇文獻(xiàn),通過逐層篩選最終納入26篇文獻(xiàn),Meta分析結(jié)果顯示中國人群LDH患病率為6%[95%CI(0.05,0.06)]。基于不同納入文獻(xiàn)的亞組分析結(jié)果顯示,中國男性和女性LDH的患病率均為4%[95%CI(0.02,0.05),95%CI(0.02,0.05)]; 中國26～40歲人群LDH的患病率為3%[95%CI(-0.01,0.09)],41～60歲人群LDH的患病率為8%[95%CI(-0.01,0.17)],60歲以上人群LDH的患病率為11%[95%CI(0.07,0.15)]; 中國人群2006—2010年LDH的患病率為2%[95%CI(0.01,0.02)],2011—2015年LDH的患病率為3%[95%CI(0.01,0.06)],2016—2021年LDH的患病率為12%[95%CI(0.04,0.20)]; 中國農(nóng)村居民LDH的患病率為3%[95%CI(0.02,0.03)],城市居民LDH的患病率為8%[95%CI(0.04,0.12)]; 中國南方人群LDH的患病率為5%[95%CI(0.04,0.06)],北方人群LDH患病率為6%[95%CI(0.04,0.07)]。結(jié)論:中國人群LDH的患病率為6%,且中國人群LDH的患病率隨年齡增長和年代推移呈上升趨勢,城市居民LDH的患病率高于農(nóng)村居民,北方人群LDH的患病率高于南方人群。
Abstract:
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 rate of LDH is 6% in the Chinese population,and it displays an upward trend with the age and time.Moreover,the prevalence rate of LDH is higher in urban residents than that in rural residents,and higher in the northern population than that in the southern population in China.

參考文獻(xiàn)/References:

[1] KNEZEVIC N N,CANDIDO K D,VLAEYEN J W S,et al.Low back pain[J].Lancet,2021,398(10294):78-92.
[2] 中醫(yī)康復(fù)臨床實(shí)踐指南·腰痛(腰椎間盤突出癥)制定工作組.中醫(yī)康復(fù)臨床實(shí)踐指南·腰痛(腰椎間盤突出癥)[J].康復(fù)學(xué)報(bào),2021,31(4):265-270.
[3] DEYO R A,MIRZA S K.Herniated lumbar intervertebral disk[J].N Engl J Med,2016,374(18):1763-1772.
[4] 吳慶能,趙進(jìn)喜,余輝.腰椎間盤突出癥的危險(xiǎn)因素分析[J].現(xiàn)代診斷與治療,2020,31(11):1755-1757.
[5] 曾憲濤,劉慧,陳曦,等.Meta分析系列之四:觀察性研究的質(zhì)量評(píng)價(jià)工具[J].中國循證心血管醫(yī)學(xué)雜志,2012,4(4):297-299.
[6] 張斯鈺,黃鵬,黃昕,等.湖南省農(nóng)村居民腰椎間盤突出的危險(xiǎn)因素及預(yù)測模型研究[J].中華流行病學(xué)雜志,2009(11):1152-1155.
[7] 王國基,王國軍,彭健民,等.腰椎間盤突出癥致病因素的流行病學(xué)研究[J].現(xiàn)代預(yù)防醫(yī)學(xué),2009,36(13):2401-2403.
[8] 李麗華.濟(jì)南市三縣慢性病患者就醫(yī)行為與疾病經(jīng)濟(jì)負(fù)擔(dān)研究[D].濟(jì)南:山東大學(xué),2010.
[9] 姜黎黎,黃巧云,李偉明,等.云南省楚雄州農(nóng)村居民慢性病患病現(xiàn)狀及影響因素分析[J].衛(wèi)生軟科學(xué),2010,24(5):458-460.
[10] 戴衛(wèi)東,陶秀彬,呂建萍,等.安徽省老年慢性病狀況與日常生活功能受損的關(guān)系[J].中國衛(wèi)生事業(yè)管理,2011,28(7):536-539.
[11] 方慶偉,劉艷,范昕,等.黑龍江省貧困農(nóng)村地區(qū)慢性非傳染性疾病的患病情況及疾病經(jīng)濟(jì)負(fù)擔(dān)分析[J].中國衛(wèi)生經(jīng)濟(jì),2011,30(12):21-23.
[12] 劉建萍,劉恒友,董許斌,等.某社區(qū)職業(yè)人群腰椎疾患影響因素調(diào)查分析[J].中國工業(yè)醫(yī)學(xué)雜志,2011,24(5):371-373.
[13] 宋琦如,李吳萍,王宏,等.寧夏吳忠市農(nóng)村居民兩周患病率現(xiàn)狀及影響因素分析[J].寧夏醫(yī)科大學(xué)學(xué)報(bào),2012,34(9):903-905.
[14] 伊雅德,譚紅專,黃昕,等.湖南省瀏陽市農(nóng)村居民慢性病患病現(xiàn)狀及影響因素分析[J].中華疾病控制雜志,2013,17(1):27-30.
[15] 陳苗,李吳萍,劉蘭,等.吳忠市利通區(qū)農(nóng)村居民慢性病患病情況及影響因素分析[J].現(xiàn)代預(yù)防醫(yī)學(xué),2013,40(21):4064-4065.
[16] 石惠惠,柳曉琳.錦州市農(nóng)村居民生活方式疾病及影響因素分析[J].中國公共衛(wèi)生,2014,30(1):109-111.
[17] 趙玉紅,計(jì)春萍.丹東地區(qū)城鄉(xiāng)居民慢性病患病及影響因素分析[J].中國熱帶醫(yī)學(xué),2014,14(12):1486-1489.
[18] 胡國萍.丹東市衛(wèi)生服務(wù)需要及利用研究[D].大連:大連醫(yī)科大學(xué),2014.
[19] 白洋,李芳,王蕾,等.甘肅省天水地區(qū)農(nóng)村空巢老人慢性病患病情況調(diào)查[J].西部中醫(yī)藥,2015,28(7):88-91.
[20] 曾朝輝,全韓,趙金亮,等.湖南省株洲市腰椎間盤突出癥流行病學(xué)調(diào)查報(bào)告[J].湖南中醫(yī)雜志,2015,31(12):141-143.
[21] 周鶴娉,陳瑩,孟瓊,等.魯?shù)榭h農(nóng)村居民慢性病衛(wèi)生服務(wù)利用公平性分析[J].中國初級(jí)衛(wèi)生保健,2015,29(10):4-6.
[22] 王麗佳,魚敏.遼寧省某市城鄉(xiāng)居民慢性病患病現(xiàn)狀及影響因素分析[J].臨床軍醫(yī)雜志,2016,44(12):1291-1292.
[23] 丁攀.寧夏山區(qū)老年居民衛(wèi)生服務(wù)需求與利用現(xiàn)狀及其影響因素分析[D].銀川:寧夏醫(yī)科大學(xué),2016.
[24] 林桂珍.定西市常駐居民慢性病患病情況及相關(guān)危險(xiǎn)因素分析[J].中國衛(wèi)生產(chǎn)業(yè),2017,14(21):160-161.
[25] 田芬,毛宏.銅仁市農(nóng)村老年人的健康狀況和護(hù)理需求[J].銅仁學(xué)院學(xué)報(bào),2017,19(9):24-27.
[26] 凌文杰.河南城鎮(zhèn)化建設(shè)中老年人健康狀況調(diào)查[J].四川體育科學(xué),2017,36(4):47-50.
[27] 馮輝,王藝濤,王天龍,等.張掖市腰椎間盤突出癥流行病學(xué)調(diào)查報(bào)告[J].中國保健營養(yǎng),2019,29(7):15.
[28] 丁楠楠,劉峰,趙睿.蚌埠市農(nóng)村居民健康狀況及健康知識(shí)需求調(diào)查[J].蚌埠醫(yī)學(xué)院學(xué)報(bào),2019,44(5):658-660.
[29] 曹陽春,寧凌.農(nóng)村空巢老人慢性病患病狀況及其影響因素[J].中國老年學(xué)雜志,2020,40(4):866-869.
[30] 劉楊,劉紅.老年體檢人群健康管理需求及相關(guān)因素分析[J].養(yǎng)生保健指南,2021(23):277.
[31] 吳思翰,汪樂炳,龔彥晨,等.深圳市成年人脊柱相關(guān)疾病現(xiàn)狀及危險(xiǎn)因素分析[J].中國衛(wèi)生統(tǒng)計(jì),2022,39(2):197-201.
[32] KIM Y K,KANG D,LEE I,et al.Differences in the incidence of symptomatic cervical and lumbar disc herniation according to age,sex and National Health Insurance Eligibility:a pilot study on the disease's association with work[J].Int J Environ Res Public Health,2018,15(10):2094.
[33] 盛放.腰椎間盤突出癥發(fā)病的危險(xiǎn)因素研究[J].中國初級(jí)衛(wèi)生保健,2012,26(10):119-120.
[34] 孫正明,凌鳴,常彥海,等.北方五省腰椎間盤突出癥危險(xiǎn)因素研究[J].南方醫(yī)科大學(xué)學(xué)報(bào),2010,30(11):2488-2491.
[35] 洪曉燕,劉沛娜,朱碧鋒,等.腰椎間盤退變相關(guān)因素的研究進(jìn)展[J].按摩與康復(fù)醫(yī)學(xué),2020,11(10):34-36.
[36] GENG J,WANG L,LI Q,et al.The association of lumbar disc herniation with lumbar volumetric bone mineral density in a cross-sectional Chinese study[J].Diagnostics,2021,11:938.
[37] SHARMA A,SARGAR K.Temporal evolution of disc in young patients with low back pain and stress reaction in lumbar vertebrae[J].Am J Neuroradiol,2017,38(8):1647-1652.
[38] JI G Y,OH C H,JUNG N Y,et al.Interference of detection rate of lumbar disc herniation by socioeconomic status[J].Asian Spine J,2013,7(1):14-19.

相似文獻(xiàn)/References:

[1]鄧紅軍.硫酸鈣骨水泥椎體成形聯(lián)合后路短節(jié)段椎弓根螺釘 內(nèi)固定治療創(chuàng)傷性胸腰椎骨折[J].中醫(yī)正骨,2015,27(10):35.
[2]張莉,秦丹霞,張細(xì)姣.腹針治療椎間盤源性腰痛[J].中醫(yī)正骨,2015,27(10):38.
[3]吳青坡,孫國紹,王林杰.后路椎管減壓聯(lián)合腰椎椎弓根釘動(dòng)態(tài)穩(wěn)定裝置內(nèi)固定 治療單節(jié)段腰椎退行性疾病[J].中醫(yī)正骨,2015,27(10):42.
[4]郭小偉,梅偉,潘玉林,等.一期后路病灶清除納米仿生骨椎體支撐體植骨融合 內(nèi)固定治療胸腰椎結(jié)核[J].中醫(yī)正骨,2015,27(07):66.
[5]孫廣江,崔海艦.絡(luò)病理論指導(dǎo)下應(yīng)用獨(dú)活寄生湯加減治療腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(12):37.
　SUN Guangjiang,CUI Haijian.Clinical study on oral application of Duhuo Jisheng Tang Jiajian(獨(dú)活寄生湯加減)under the guidance of collaterals disease theory for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):37.
[6]阮朝陽,曾強(qiáng)華,朱群威.口服消栓口服液和甲鈷胺膠囊治療腰椎間盤突出癥 經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀[J].中醫(yī)正骨,2015,27(12):71.
[7]陳冠軍,陳揚(yáng),莊汝杰.可灌注骨水泥椎弓根螺釘系統(tǒng) 在老年腰椎疾患手術(shù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):40.
[8]萬宏波,馬海燕,蔣云霞,等.口服益氣化瘀湯聯(lián)合功能鍛煉治療腰椎退行性疾病 術(shù)后殘留腰腿痛的臨床研究[J].中醫(yī)正骨,2015,27(06):1.
　WAN Hongbo,MA Haiyan,JIANG Yunxia,et al.Clinical study on oral application of Yiqi Huayu Tang(益氣化瘀湯)combined with functional exercise for the treatment of postoperative residual lumbocrural pain in patients with lumbar degenerative disease[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):1.
[9]賀振年,康信勇,徐洪偉,等.骨盆矢狀位參數(shù)對(duì)退行性腰椎滑脫癥的影響[J].中醫(yī)正骨,2015,27(06):19.
　HE Zhennian,KANG Xinyong,XU Hongwei,et al.Effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):19.
[10]李鵬,徐世濤,譚磊.椎旁肌間隙入路傷椎單側(cè)植骨內(nèi)固定治療 單節(jié)段胸腰椎骨折[J].中醫(yī)正骨,2015,27(06):43.
[11]徐幫杰,楊楠,白偉杰,等.坐位定點(diǎn)旋轉(zhuǎn)整復(fù)法治療腰椎間盤突出癥的療效觀察[J].中醫(yī)正骨,2015,27(11):17.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):17.
[12]白春曉,賈育松,孫旗,等.中醫(yī)藥在腰椎間盤突出癥圍手術(shù)期應(yīng)用的研究進(jìn)展[J].中醫(yī)正骨,2015,27(11):65.
[13]王少純,周英杰.郭維淮教授運(yùn)用活血益氣通經(jīng)湯治療腰椎間盤突出癥的經(jīng)驗(yàn)[J].中醫(yī)正骨,2015,27(11):75.
[14]蘇洪,張雪林.患側(cè)下肢牽引配合腰椎斜扳法治療 極外側(cè)型腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(10):40.
[15]謝冬群,黃中梁,葉金麗.加強(qiáng)隔附子餅灸治療腎陽虛型腰椎間盤突出癥的 臨床研究[J].中醫(yī)正骨,2015,27(09):18.
　XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):18.
[16]沈海良,錢萬鋒,周驍棟.針刀松解聯(lián)合局部封閉與口服中藥治療腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(09):46.
[17]王仁燦,黃炎洪,潘偉江,等.45°肩踝懸吊牽引下撞擊腰椎療法治療L5S1椎間盤突出癥[J].中醫(yī)正骨,2015,27(08):51.
[18]任博文,楊豪.口服桂葛萆薢湯加減配合功能鍛煉治療 寒濕型腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(08):53.
[19]丁曉醫(yī),周子靜.射頻熱凝聯(lián)合臭氧注射治療腰椎間盤突出癥的護(hù)理[J].中醫(yī)正骨,2015,27(12):81.
[20]仇湘中,蔣盛昶,張信成,等.紅外熱成像圖在腰椎間盤突出癥證候療效評(píng)定中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):17.
　QIU Xiangzhong,JIANG Shengchang,ZHANG Xincheng,et al.Application of infrared thermal imaging to curative effect evaluation of SYMPTOM COMPLEX for patients with lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):17.

備注/Memo

備注/Memo:
基金項(xiàng)目:國家自然科學(xué)基金項(xiàng)目(82174399); 江蘇省基礎(chǔ)研究計(jì)劃(青年基金和面上項(xiàng)目)項(xiàng)目(BK20211084); 江蘇省中醫(yī)藥科技發(fā)展計(jì)劃項(xiàng)目(QN202007); 蘇州市中西醫(yī)結(jié)合科研基金項(xiàng)目(SKJYD2021227)
通訊作者:李宇衛(wèi) E-mail:[email protected]
更新日期/Last Update: 1900-01-01