目的:分析2000—2017年国内医务工作者抑郁症状检出率及三间分布特征.方法:检索CNKI、Wanfang Data、VIP、Pubmed及Web of Science,收集国内医务人员抑郁症状的相关文献.结果:共纳入28篇文献,医务人员抑郁症状合并检出率为27.7％(95％C I:18.9％～36.4％).东部医务人员抑郁检出率(30.7％)明显高于中部(26.8％)和西部(23.0％);抑郁检出率呈现下降趋势(2000—2005年:42.3％,2006—2010年:27.2％,2011—2017年:25.8％);女性、35岁以下、本科及以上学历、未婚/离婚/丧偶、医生抑郁检出率高于其他分组;县、市级(30.1％)、部队及专科医院(31.5％)抑郁检出率明显高于基层医院(23.0％).结论:国内医务人员抑郁症状检出率在性别、地区、年龄、医院级别分布不同,量表和抽样方法选择对检出率有影响.
Objective To analyze the detection rate of depression symptom in elderly patients with coronary heart disease (CHD).Methods Articles of depression symptom in elderly patients with CHD were searched by using CNKI,Wanfang Data,VIP,Pubmed and Web of Science.Random Effect Model was used to pool the original data according to the results of heterogeneity.Results Fifteen articles were included (19 results were analyzed) with total sample of 2 402 individuals according to the inclusion and exclusion criteria.The pooled detection rate was 48.1％ (95％CI:41.2％～54.9％)in elderly patients with CHD.The detection rate of male patients was lower than that of females,and the difference was statistically significant (40.2％ vs.54.8％,P＜0.05).The detection rate of mild to moderate patients was higher than that of severe patients,and the difference was statistically significant (30.5％ vs.13.8％,P＜0.05).The detection rates of the two depression scales were approximately the same (GDS scale:47.9％ vs.HAMD scale:49.3％).Conclusions The prevalence of depression symptoms in elderly patients with coronary heart disease varies with gender and degree of depression.The detection rate of female patients was significantly higher than that of male,and the detection rates of mild to moderate depression symptoms were higher than that of severe.
目的 评价近十年我国出入境人员乙肝表面抗原(HBsAg)检出率及HBsAg检出的三间分布特征.方法 检索中国期刊全文数据库、万方数据库、维普(VIP)数据库、PubMed和ScienceDirect数据库,收集近十年我国出入境人员HBsAg检出率的文献,对纳入的文献进行资料提取和Meta分析.结果 共纳入文献40篇.近十年我国出入境人员HBsAg合并检出率为5.59％(95％CI:4.45％～6.84％);自2005年开始的近十年,我国出入境人员HBsAg检出率呈平稳下降趋势;在地区分布上,中部地区HBsAg检出率高于东部和西部地区;在人群分布上,男性HBsAg检出率高于女性,公/商务人员在各职业人群中检出率最高.结论 我国出入境人员HBsAg检出率有所下降,但仍高于普通人群.
