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李莹, 李光校. 中国脑卒中患者抑郁患病率meta分析[J]. 中国公共卫生, 2015, 31(7): 968-972. DOI: 10.11847/zgggws2015-31-07-33
引用本文: 李莹, 李光校. 中国脑卒中患者抑郁患病率meta分析[J]. 中国公共卫生, 2015, 31(7): 968-972. DOI: 10.11847/zgggws2015-31-07-33
LI Ying, LI Guang-xiao. Prevalence of post-stroke depression among Chinese stroke patients:a meta-analysis[J]. Chinese Journal of Public Health, 2015, 31(7): 968-972. DOI: 10.11847/zgggws2015-31-07-33
Citation: LI Ying, LI Guang-xiao. Prevalence of post-stroke depression among Chinese stroke patients:a meta-analysis[J]. Chinese Journal of Public Health, 2015, 31(7): 968-972. DOI: 10.11847/zgggws2015-31-07-33

中国脑卒中患者抑郁患病率meta分析

Prevalence of post-stroke depression among Chinese stroke patients:a meta-analysis

  • 摘要: 目的 运用meta分析方法综合定量评价中国大陆地区脑卒中患者卒后抑郁(PSD)的患病率,为脑卒中患者的临床护理工作提供指导。方法 通过检索CBM、CNKI、万方数据库和维普数据库,收集2000年1月—2014年12月发表的关于中国脑卒中患者PSD患病率的研究文献,并对纳入文献进行质量评价;应用CMA 2.0软件计算PSD总体粗患病率、异质性和绘制森林图,行亚组分析探索异质性来源。结果 本研究共32篇文献符合纳入标准,脑卒中病例15 834例,发生PSD者5 363例,中国脑卒中患者的PSD总患病率为32.8%(95% CI=29.5%~36.3%);亚组分析结果显示,卒中部位于左侧半球的和非单纯性左侧半球的脑卒中患者PSD患病率分别为41.7%和26.4%,差异有统计学意义(Q=36.5,P<0.01);卒中病程为<1、1~6和>6个月的脑卒中患者PSD患病率分别为26.4%、37.6%和38.6%,差异有统计学意义(Q=9.48,P<0.01);应用抑郁自评量表(SDS)和汉密尔顿抑郁量表(HAMD)测量的脑卒中患者PSD患病率分别为37.7%和30.0%,差异有统计学意义(Q=4.96,P=0.03);不同性别、年龄、地区和卒中类型的脑卒中患者PSD患病率差异均无统计学意义(均P>0.05)。结论 中国大陆地区脑卒中患者PSD患病率较高,应在临床治疗脑卒中的同时对患者心理健康引起足够重视,从而促进脑卒中患者的康复和提高其生活质量。

     

    Abstract: Objective To evaluate the prevalence of post-stroke depression(PSD)among Chinese stroke patients with meta-analysis and to provide references for clinical care of the patients.Methods Literatures search was performed using Chinese Biomedical Data-Base,China National Knowledge Infrastructure,WanFang Database,and VIP Chinese Science and Technology Periodical Database to retrieve studies focused on prevalence of PSD among patients with stroke from Janury 2000 through December 2014.Quality of the included studies was evaluated using Agency for Healthcare Research and Quality(AHRQ)scale.All statistical analysis was conducted with Comprehensive Meta Analysis(CMA)2.0 software.Results Totally 32 articles were included,with 15 834 stroke patients and 5 363 PSD patients involved.The overall prevalence of PSD among the stroke patients was 32.8%(95% confidence interval95% CI:29.5%-36.3%).Subgroup analysis showed that the prevalence of PSD for the patients with left hemisphere only stroke was significantly different from that of non-left hemisphere only stroke(41.7% vs.26.4%,Q=36.5;P<0.01).The prevalence of PSD was affected by the course of stroke,with the prevalence rates of 26.4%,37.6%,and 38.6% for the patients with the stroke within one month,1 to 6 months,and more than 6 months,respectively(Q=9.48,P<0.01).The PSD prevalence rate also varied when evaluated using different scales(Self-Rating Depression ScaleSDS.Hamilton Depression ScaleHAMD:37.7% vs.30.0%,Q=4.96,P=0.03).No statistical differences were observed when the studies were stratified by sex,age,regions and subtype of stroke(with P>0.05).Conclusion The prevalence of PSD is high among Chinese stroke patients.Much attention should be paid to the mental health of stoke patients for improving quality of life of the patients.

     

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