背景:虽然很多健康效益与体育运动有关,但在过去几年中,随着参与体育运动的人数慢慢增加,被半月板损伤所困扰的人数也在慢慢上升。目的:系统评价运动损伤中半月板损伤的流行病学特征。方法:计算机检索PubMed、EMbase、Wan Fang Data、VIP和CNKI数据库,搜集有关国内运动损伤中半月板损伤的流行病学研究,检索时限均从建库至2018-09-30。由2位研究者独立筛选文献、提取资料,并评价纳入研究的偏倚风险后,采用Stata 12.0软件进行合并分析。结果与结论:(1)共纳入21篇文献;(2)Meta结果显示,运动损伤中半月板损伤患病率为5%[95%CI(0.04,0.05)],纳入文献中有5篇文献分别介绍了内、外侧半月板损伤患病率,外侧半月板损伤患病率为8%[95%CI(0.05,0.11)],内侧半月板损伤患病率为7%[95%CI(0.04,0.09)];(3)纳入运动损伤男女比例为1.5,男性患者多于女性,运动损伤患者年龄在14-24岁之间;(4)专项训练是运动损伤中最主要的原因;(5)当前证据显示,运动损伤中半月板损伤患病率较高,外侧半月板损伤患病率稍高于内侧,主要由专项训练水平所决定。受纳入研究数量和质量的限制,上述结论尚待更多高质量研究予以验证。
BACKGROUND: Although many health benefits are related to sports, over the past few years, as the number of people participating in sports has gradually increased, the number of people suffering from meniscus injuries has been on a rise.OBJECTIVE: To systematically review the epidemiological characteristics of meniscus injury in sports injury.METHODS: PubMed, EMbase, WanFang, VIP and CNKI databases were searched to collect studies of the epidemiological characteristics of meniscus injury in sports injury from inception to September 30, 2018. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Meta-analysis was performed using Stata 12.0 software.RESULTS AND CONCLUSION:(1) Twenty-one studies were included.(2) The results of meta-analysis showed that: the prevalence of meniscus injury in sports injury was 5%[95%CI(0.04, 0.05)]. Five articles included in the literature introduced the incidence of medial and lateral meniscus injury, respectively. The prevalence of lateral meniscus injury in sports injury was 8%[95%CI(0.05, 0.11)] and the prevalence of medial meniscus injury in sports injury was 7%[95%CI(0.04, 0.09)].(3) The ratio of male to female was 1.5 and male patients were more than female, with the age ranging from 14 to 24 years.(4) Special training was the main cause of sports injuries.(5) Current evidence shows that there is a high prevalence of meniscus injury in sports injury. The incidence of lateral meniscus injury is slightly higher than that of medial side. The main reason of sports injuries is mainly determined by the level of special training. Due to limited quality and quantity of the included studies, more high-quality studies are needed to verify above conclusion.
Chinese Journal of Tissue Engineering Research