中国老年人吞咽障碍患病率的Meta分析

• 作者： 刘雅鑫, 蒋运兰, 黄孝星, 潘竟, 沈音丽, 张越 ¹
• 作者单位：
  1.  成都中医药大学护理学院成都中医药大学附属医院
• 提交时间：2022-09-13

摘要: 背景 随着我国进入了老龄化社会，老年人的健康问题因与多种疾病相关而引起关注。近几年来，我国老年人吞咽障碍的患病率明显上升，加重了社会和家庭的经济负担。目的 系统评价中国老年人吞咽障碍的患病率。方法 计算机检索Pubmed、Web of Science、Embase、the Cochrane Library、中国知网、维普、万方和中国生物医学文献数据库中，检索中国老年人吞咽障碍的横断面研究，检索时间截至2022年5月。由两位研究人员严格按照纳入和排除标准完成文献筛选和数据提取，并用AHRQ量表评价横断面研究质量，Meta分析选择Stata 15.0软件。结果 共纳入22篇文献，总样本量为308289例，其中有吞咽障碍患者47940例。Meta分析结果显示，我国老年人吞咽障碍患病率为66.0% 〔95%CI（58.0%，73.0%）〕。亚组分析结果显示，男性和女性的吞咽障碍患病率相同。年龄≥80岁、文化程度高、养老机构、EAT-10 量表诊断工具的老年人吞咽障碍患病率更高。结论 我国老年人吞咽障碍患病率较高，不同年龄、文化程度、研究地点、诊断标准的老年人群吞咽障碍患病率有差异，需要早期重视和了解老年人吞咽障碍，选择针对性的干预措施，来提高老年吞咽障碍的生活质量，减少老年人吞咽障碍患病率。

Abstract: Background Along with our country entered the aging society, the elderly health problems caused by various diseases related concerns. In recent years, the prevalence of swallowing disorder in the elderly in China has increased obviously, which has brought serious economic burden to society and families. Objective To systematically evaluate the prevalence of dysphagia in the elderly in China. Methods Pubmed, Web of Science, Embase, The Cochrane Library, CNKI, VIP , Wan-fang and China Biomedical Literature Database were searched for cross-sectional studies related to the prevalence of dysphagia in the elderly in China. The search time was up to May 2022. Literature screening and data extraction were performed by two researchers in strict accordance with the inclusion and exclusion criteria. AHRQ scale was used to evaluate the quality of cross-sectional studies. Meta-analysis was carried out with Stata 15.0 software. Results A total of 22 articles were included, with a total sample size of 308289 patients, including 47940 patients with dysphagia. Meta-analysis showed that the prevalence of dysphagia in the elderly in China was 66.0% [95%CI (58.0%, 73.0%)]. Subgroup analysis showed that the prevalence of dysphagia was the same in men and women. The prevalence of dysphagia was higher in the elderly aged ≥80 years, with high education level, nursing institutions and EAT-10 scale assessment tool. Conclusion Our country elderly swallowing disorder prevalence is higher, different ages, education, research location, di-agnostic criteria of the elderly swallowing disorder prevalence is different, need to pay attention to and understand the elderly swallowing disorders early, choose targeted interventions, to improve the quality of life of the elderly swallowing disorders, reduce the prevalence of the elderly swallowing disorders.

• 分类： 医学、药学 >> 基础医学
• 引用： ChinaXiv:202209.00116 (或此版本 ChinaXiv:202209.00116V1)
  DOI:10.12114/j.issn.1007-9572.2022.0639
  CSTR:32003.36.ChinaXiv.202209.00116.V1
• 推荐引用方式： 刘雅鑫, 蒋运兰, 黄孝星, 潘竟, 沈音丽, 张越.(2022).中国老年人吞咽障碍患病率的Meta分析.中国全科医学.doi:10.12114/j.issn.1007-9572.2022.0639 (点此复制)