多发性硬化症患者疲劳的全球流行:系统性审查和元分析
Xiaodong Yi1, Yue Zhang2, Qiufeng Du1
1College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Frontiers in neurology
|October 17, 2024
概括
多发性硬化症 (MS) 疲劳的全球流行率为59.1%,影响生活质量. 早期查和标准化的测量工具对于管理这种常见的MS症状至关重要.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 疲劳是患有多发性硬化症 (PwMS) 的患者普遍和衰弱的症状.
- 它显著影响普华永道的生活质量和就业,但全球流行数据缺乏共识.
研究的目的:
- 确定多发性硬化症 (MS) 患者疲劳的全球患病率.
- 识别在文献中报告的MS相关疲劳患病率变化的因素.
主要方法:
- 2000年至2024年1月期间发表的研究的系统审查和元分析.
- 搜索了多个数据库,包括PubMed,EMBASE和科学网.
- 使用随机效应模型进行流行率计算和元回归来探索异质性.
主要成果:
- 包括来自27个国家的69项研究,报告全球MS相关疲劳患病率为59.1%.
- 自2000年以来,患病率呈现下降趋势.
- 在女性,受教育程度较低,年龄较大,残疾较大,MS持续时间较长的人群中观察到更高的疲劳患病率.
- 疲劳测量仪器被确定为异质性的主要来源.
结论:
- 与MS相关的疲劳非常普遍,需要医疗保健专业人员进行早期查和管理.
- 特定人群,包括女性和残疾人,需要专注的关注.
- 显著的异质性强调了在多发性硬化研究和临床实践中需要标准化的疲劳评估工具.
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