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HIV/AIDS患者血脂异常患病率的Meta分析

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目的 系统评价人类免疫缺陷病毒(HIV)感染者/艾滋病(AIDS)患者(以下简称HIV/AIDS患者)血脂异常的患病率.方法 计算机检索中国知网、中国生物医学文献数据库、维普、万方、PubMed、Web of science、Embase、Cochrane Library等数据库收录的有关HIV/AIDS患者血脂异常患病率的文献,检索时限为建库至2023年9月.文献筛选、数据提取、质量评价均由2名研究员独立完成.采用Stata 16.0软件进行统计学分析.结果 最终纳入55篇文献,包含69 968例HIV/AIDS患者.Meta分析结果显示,HIV/AIDS患者血脂异常的患病率为57.0%,高胆固醇血症、高甘油三酯血症、高低密度脂蛋白胆固醇血症、低高密度脂蛋白胆固醇血症的患病率分别为23.7%、30.6%、21.8%、39.3%;血脂水平分别为总胆固醇176.2 mg/dL、甘油三酯116.8 mg/dL、低密度脂蛋白106.5 mg/dL、高密度脂蛋白45.6 mg/dL.亚组分析结果显示,不同地区、年龄、治疗情况的HIV/AIDS患者的血脂异常总体患病率及各类型血脂异常患病率有显著差异(P<0.05).结论 HIV/AIDS患者血脂异常患病率较高,不同地区、年龄、治疗情况的HIV/AIDS患者血脂异常存在差异.
Meta-analysis of the prevalence of dyslipidemia in human immunodeficiency virus/acquired immunodeficiency syndrome patients
Objective To systematically evaluate the prevalence of dyslipidemia in patients infected with human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS)patients.Methods CNKI,China Bidogy Medicine,VIP,Wanfang,PubMed,Web of science,Embase,Cochrane Library and other datebase were searched for the enrolled literature related to the incidence of dyslipidemia in HIV/AIDS patients by computer.The search period was from the establishment of the database to September 2023.The literature screening,data extraction and quality evaluation were completed independently by two researchers.Statistical analysis was carried out by Stata 16.0 software.Results A total of 55 papers were included,including 69,968 HIV/AIDS patients.The results of Meta-analysis showed that the prevalence of dyslipidemia in HIV/AIDS patients was 57.0%,and the prevalence of hypercholesterolemia,hypertriglyceridemia,high low density lipoprotein cholesterolemia and low high density lipoprotein cholesterolemia were 23.7%,30.6%,21.8%,and 39.3%,respectively.The blood lipid levels were total cholesterol 176.2 mg/dL,triglycerides 116.8 mg/dL,low-density lipoprotein 106.5mg/dL,and high-density lipoprotein 45.6mg/dL.The results of sub-grouping analysis showed that the overall prevalence of dyslipidemia and the prevalence of specific types of dyslipidemia in HIV/AIDS patients in different regions,ages and treatment conditions were significantly different(P<0.05).Conclusions The prevalence of dyslipidemia in HIV/AIDS patients is high,and there are differences in the dyslipidemia among HIV/AIDS patients in different regions,ages and treatment conditions.

Human immunodeficiency virusAcquired immunodeficiency syndromeDyslipidemiaPrevalenceMeta-analysis

刘春梅、万彬、谢鹏、赵霞、吕春容、肖旭珏

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成都市公共卫生临床医疗中心护理部,成都 610066

人类免疫缺陷病毒 艾滋病 血脂异常 患病率 Meta分析

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(12)