目的 运用Meta分析研究洪涝灾害早中期疾病发生情况,了解疾病发生的特点,为洪涝灾害早中期医学救援提供依据。方法 检索PubMed、中国知网等数据库中有关洪涝灾害早中期疾病发生情况的文献,使用STATA 16.0软件对洪涝灾害发生早中期疾病占比进行合并,检验异质性并选择相应的效应模型,通过JBI量表识别发表偏倚,进行偏倚风险分析,并对同质性结果进行Meta分析;同时对洪涝灾害疾病发生的不同人群进行亚组分析。结果 纳入文献20篇,合计111 099例研究对象。Meta分析结果显示,洪涝灾害早中期各系统疾病分布情况分别为:皮肤疾病(30.8%)、呼吸系统疾病(24.1%)、消化系统疾病(13.1%)、损伤与中毒(12.6%)、循环系统疾病(4.0%)、视觉系统疾病(3.1%)、传染病(2.9%)、泌尿生殖系统疾病(0.5%)。结论 洪涝灾害早中期皮肤疾病、呼吸系统疾病、消化系统疾病、损伤与中毒等疾病占比较高,受灾人员和救灾人员各疾病比例不同。
Abstract
Objective To study the incidence of diseases in the early and middle stages of flooding by Meta-analysis, to understand the characteristics of diseases and to provide the basis for medical rescue in the early and middle stages of flooding. Methods The literature on the occurrence of early and middle stage diseases of flooding in PubMed, CNKI and other databases were searched. STATA16.0 software was used to combine the proportion of early and middle stage diseases of flooding, test the heterogeneity and select the corresponding effect model. The publication bias was identified by JBI scale, the risk of bias was analyzed, and the homogeneity results were analyzed by Meta-analysis; meanwhile, different populations with flooding diseases were analyzed. Results Twenty articles with a total of 111,099 study subjects were included. The Meta-analysis showed that the distribution of diseases in each system in the early and middle stages of flooding was: skin diseases (30.8%), respiratory diseases (24.1%), digestive system diseases (13.1%), injuries and poisonings (12.6%), circulatory diseases (4.0%), visual system diseases (3.1%), infectious diseases (2.9%), and genitourinary diseases (0.5%). Conclusions Skin diseases, respiratory diseases, digestive system diseases, injuries and poisonings account for a relatively high proportion in the early and middle stages of flooding, and the proportion of diseases is different between disaster-stricken and disaster relief personnel.
关键词
洪涝灾害 /
疾病 /
Meta分析
Key words
flooding /
disease /
meta-analysis
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基金
军队后勤应用基础研究面上项目(CWJ18L004)
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