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围绝经期女性睡眠障碍的影响因素:一项系统综述和荟萃分析。

Factors influencing sleep disorders in perimenopausal women: a systematic review and meta-analysis.

作者信息

Zeng Weisi, Xu Jialan, Yang Ying, Lv Meiling, Chu Xin

机构信息

School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

出版信息

Front Neurol. 2025 Feb 7;16:1460613. doi: 10.3389/fneur.2025.1460613. eCollection 2025.

DOI:10.3389/fneur.2025.1460613
PMID:39990264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11842262/
Abstract

BACKGROUND

To determine the influencing factors of sleep disorders in perimenopausal women by Meta-analysis.

METHODS

A comprehensive literature search was conducted by PubMed, Embase, CINAHL, and Web of Science(from inception to December 1,2023). Two researchers independently performed literature screening, quality evaluation and data extraction, and Stata16.0 software were used for Meta-analysis.

RESULTS

A total of 12 studies involving 11,928 perimenopausal women with sleep disorders were included. The results of Meta-analysis showed that depression(OR = 2.73, 95%CI 1.65 ~ 4.52), hot flashes (OR = 2.70, 95%CI 1.81 ~ 4.02), chronic disease (OR = 1.39, 95%CI 1.24 ~ 1.56) and psychotropic drug use(OR = 3.19, 95%CI 1.31 ~ 7.77) were risk factors for sleep disorders in perimenopausal women ( < 0.05).

CONCLUSION

Sleep disorder is one of the most common symptoms in perimenopausal women, and its influencing factors should be paid attention to. Healthcare managers can further improve and standardize the prevention and management of sleep disorders in perimenopausal women according to the influencing factors, accurately identify high-risk groups, implement intervention measures, and reduce the severity and incidence of sleep disorders in perimenopausal women.

摘要

背景

通过Meta分析确定围绝经期女性睡眠障碍的影响因素。

方法

通过PubMed、Embase、CINAHL和Web of Science(从创刊到2023年12月1日)进行全面的文献检索。两名研究人员独立进行文献筛选、质量评估和数据提取,并使用Stata16.0软件进行Meta分析。

结果

共纳入12项研究,涉及11928名有睡眠障碍的围绝经期女性。Meta分析结果显示,抑郁(OR = 2.73,95%CI 1.65~4.52)、潮热(OR = 2.70,95%CI 1.81~4.02)、慢性病(OR = 1.39,95%CI 1.24~1.56)和使用精神药物(OR = 3.19,95%CI 1.31~7.77)是围绝经期女性睡眠障碍的危险因素(P < 0.05)。

结论

睡眠障碍是围绝经期女性最常见的症状之一,其影响因素应引起重视。医疗管理者可根据影响因素进一步改进和规范围绝经期女性睡眠障碍的预防和管理,准确识别高危人群,实施干预措施,降低围绝经期女性睡眠障碍的严重程度和发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99b/11842262/afee566f7334/fneur-16-1460613-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99b/11842262/afee566f7334/fneur-16-1460613-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99b/11842262/afee566f7334/fneur-16-1460613-g001.jpg

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