中国60岁以上老年人睡眠障碍患病率的Meta分析  

Meta-analysis of the prevalence of sleep disorder among Chinese elderly aged 60 years and over

作　　者：刘芸[1] 董永海[2] 李晓云[1] 毛向群[2] 彭广萍[2] 刘磊[2] 

机构地区：[1]江西省人民医院干部病房神经科,江西南昌330006 [2]江西省疾病预防控制中心,江西南昌330000

出　　处：《现代预防医学》2014年第8期1442-1445,1449,共5页Modern Preventive Medicine

摘　　要：目的 采用Meta分析评价2000-2013年中国60岁以上老年人群睡眠障碍患病率状况。方法 系统检索PubMed、Springer Link、中国期刊全文数据库CNKI、万方数据资源系统、维普中文科技期刊全文数据库中有关老年人群睡眠障碍患病率的研究文献，采用Meta分析合并患病率，并对性别、年龄、地区、婚姻状况、是否伴有其他疾病、城市/农村等分类指标进行亚组分析。结果 共筛选出参考文献13篇，总调查人数16 284例，其中睡眠障碍患者7 948例。经Meta分析，老年人睡眠障碍患病率为47.2%（95%CI：35.8%～58.5%）。亚组分析结果显示男性睡眠障碍患病率为49.2%，低于老年女性58.2%；60、70、80岁年龄组老年人睡眠障碍患病率分别为35.3%、41.5%、51.0%；农村老年人睡眠障碍患病率为52.8%，城市为 41.4%；东部、中部、西部地区老年人睡眠障碍患病率分别为37.2%、63.3%、43.3%；丧偶老年人患病率为50.1%，在婚者为33.1%；身体伴有其他疾患的老年人为58.6%，无疾患者为 49.1%。结论 中国60岁以上人群老年人睡眠障碍患病严重，应引起公众的普遍重视。Objective The study assessed the prevalence of sleep disorder among Chinese elderly aged 60 years and over between 2000 and 2013 by meta-analyses. Methods Research literatures related to the prevalence of sleep disorder among elderly popula- tions were systematically retrieved from PubMed, Springer Link, China National Knowledge Infrastructure （CNKI）, Wanfang Data, and Weipu Chinese Science and Technology Periodicals. Meta-analysis was adopted to merge categories, including gender, age, ge- ological location, marital status, presence of other diseases, and urban/rural residence, for subgroup analyses. Results The study se- lected thirteen literatures, which included a total of 16 284 surveyees and 7 948 sleep disorder patients. Meta-analysis of the results showed that the prevalence of sleep disorder among elderly was 47.2% （95%C[： 35.8%-58.5%）, and subgroup analyses indicated that the prevalence of sleep disorder among men （49.2%） was lower than that of women （58.2%）. The prevalence of sleep disorder a- mong elderly in the 60, 70, and 80 age groups were 35.3%, 41.5%, and 51.0%, respectively. The prevalence of sleep disorder a- mong elderly residing in rural and urban areas was 52.8% and 41.4%, respectively. The prevalence of sleep disorder among elderly in east, central, and west China was 37.2%, 63.3%, and 43.3%, respectively. The prevalence of sleep disorder among widowed and married elderly was 50.l% and 33.1%, respectively; that among elderly with and without other physical illnesses was 58.6% and 49.1%, respectively. Conclusion Sleep disorder is highly prevalent among elderly aged 60 years and over in China. More public at- tention should be raised on the issue.

关 键 词：睡眠障碍 老年人 患病率 META分析 

分 类 号：R181[医药卫生—流行病学]