摘要
目的系统评价中国驻高原军人睡眠障碍检出率,为后续研究和预防干预提供循证医学依据。方法通过检索中国知网、万方数据库、维普中文数据库,以及Web of Science、PubMed,得到我国驻高原军人睡眠障碍相关文献,检索时间为建库至2024年8月1日。使用美国卫生保健质量和研究机构(AHRQ)推荐的AHRQ方法学清单评估文献质量,采用R 4.3.2软件对提取的数据进行Meta分析,使用随机效应模型计算睡眠障碍总检出率并绘制森林图,对驻高原时间不同的军人睡眠障碍进行亚组分析。结果共检索到1498篇文献,最终纳入符合条件的文献20篇,囊括11991例驻高原军人,存在睡眠障碍者3586例,我国驻高原军人睡眠障碍总检出率为36.8%[95%CI(32.0%,41.5%)];驻高原时间不满1年的军人睡眠障碍检出率为40.3%[95%CI(33.5%,47.0%)],驻高原时间满1年的军人睡眠障碍检出率为30.0%[95%CI(16.1%,43.9%)]。结论驻高原军人睡眠障碍总检出率较高,其中驻高原时间不满1年的军人罹患睡眠障碍的可能性更高,需采取有效措施进行预防。
Objective To evaluate the detection rates of sleep disorders among Chinese soldiers stationed in plateau regions,providing evidence-based support to inform future research and preventive interventions.Methods A comprehensive search was conducted across CNKI,WanFang Data,VIP Chinese Journal Database,Web of Science,and PubMed.The search encompassed studies from the inception of these databases up to August 1st,2024.The quality of the literature was assessed using the Agency for Healthcare Research and Quality(AHRQ)methodological checklist recommended by the Agency for Healthcare Research and Quality.Data extracted from the included studies were analyzed using R software(version 4.3.2)for Meta-analysis.A random-effects model was used to calculate the overall detection rate of sleep disorders and generate a forest plot,while subgroup analysis was performed based on the duration of high-altitude deployment in Chinese soldiers.Results A total of 1498 publications were retrieved,with 20 studies meeting the inclusion criteria.These studies comprised 11991 soldiers stationed in plateau regions,among whom 3586 cases of sleep disorders were identified.The detection rate of sleep disorders among Chinese soldiers stationed in plateau regions was 36.8%[95%CI(32.0%,41.5%)].Subgroup analysis revealed that the detection rate was higher among soldiers stationed for less than one year,at 40.3%[95%CI(33.5%,47.0%)],compared to those stationed for more than one year,who had a detection rate of 30.0%[95%CI(16.1%,43.9%)].Conclusion The detection rate of sleep disorders in the soldiers stationed in the plateau regions is notably high.Soldiers who have been stationed for less than one year are more likely to susceptible sleep disorders.These findings underscore the need for effective preventive measures to address this issue.
作者
弓建
贺军
郭孝文
刘瑞霞
郭书文
GONG Jian;HE Jun;GUO Xiaowen;LIU Ruixia;GUO Shuwen(Institute for Hygiene of Ordnance Industry,China Ordnance Industry Group-Machine-Environment Key Laboratory,Xi'an 710065,China)
出处
《军事医学》
2025年第11期839-845,共7页
Military Medical Sciences
关键词
高原
军人
睡眠障碍
匹兹堡睡眠质量指数
META分析
high altitude
military personnel
sleep disorder
Pittsburgh sleep quality index
Meta-analysis
