山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (4): 4-6.doi: 10.6040/j.issn.1673-3770.0.2014.393

• 睡眠呼吸障碍性疾病 • 上一篇    下一篇

颈围、腰围与男性阻塞性睡眠呼吸暂停低通气综合征患病程度的相关性

刘海琴1, 尚磊2, 侯瑾1, 何翠林1, 成颖1, 邵娜1   

  1. 1. 西安交通大学第二附属医院耳鼻咽喉头颈外科, 陕西 西安 710004;
    2. 第四军医大学统计学教研室, 陕西 西安 710032
  • 收稿日期:2014-12-09 修回日期:2015-04-07 出版日期:2015-08-16 发布日期:2015-08-16
  • 通讯作者: 侯瑾。E-mail:13319251982@126.com E-mail:13319251982@126.com
  • 作者简介:刘海琴。E-mail:568811241@qq.com

Relationship of neck circumference, waist circumference and extent of obstructive sleep apnea syndrome in males.

LIU Haiqin1, SHANG Lei2, HOU Jin1, HE Cuilin1, CHENG Ying1, SHAO Na1   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, Shaanxi, China;
    2. Teaching and Research Section of Statistics, The Fourth Military Medical University, Xi'an 710032, Shaanxi, China
  • Received:2014-12-09 Revised:2015-04-07 Online:2015-08-16 Published:2015-08-16

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摘要： 目的 初步研究探讨颈围、腰围与男性阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者病情严重程度的相关性。方法 回顾性分析行多导睡眠监测确诊为OSAHS的男性患者178例的临床资料, 就颈围、腰围、体质量指数(BMI)、年龄、性别与低通气指数(AHI)、最低血氧饱和度(LSaO2)、占总睡眠事件百分比( TS90%)、爱泼沃斯嗜睡量表(ESS)之间的关系。结果 ①患者BMI与多导睡眠监测((Polysomnography, PSG)指标AHI、LSaO2、TS90%、ESS无相关性;年龄、颈围和腰围与AHI、TS90%、ESS呈正相关, 与LSaO2呈负相关;②多元逐步回归分析, 结果显示颈围、腰围与AHI、TS90%及LSaO2均相关。结论 男性OSAHS患者颈围、腰围与OSAHS患者的病情严重程度相关。

关键词: 多导睡眠监测, 颈围, 腰围, 睡眠呼吸暂停, 阻塞性

Abstract: Objective To investigate the relationship between neck circumference, waist circumference and extent of obstructive sleep apnea syndrome(OSAHS) in males. Methods Clinical data of 200 OSAHS patients, diagnosed by polysomnography from January 2013 to July 2013, were reviewed. The relationship between neck circumference, waist circumference, BMI, age, sex, and AHI, LSaO2, TS90%, ESS were analyzed. Results ① No association was found between age, BMI, AHI, LSaO2 and TS90%, ESS. Neck circumference and waist circumference were positively correlated with AHI, TS90% and ESS, but negatively correlated with LSaO2. ② Stepwise multiple regression analysis showed both circumferences were associated with AHI, TS90% and LSaO2. Conclusion Neck circumference and waist circumference are associated with severity of OSAHS in male patients.

Key words: Waist circumference, Sleep apnea hypopnea, obstructive, Polysomography, Neck circumference

中图分类号: 

  • R766.7
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会咽喉学组. 阻塞性睡眠呼吸暂停低通气综合征诊断和外科治疗指南[J]. 中华耳鼻咽喉头颈外科杂志, 2009, 44(2):95-96. Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Subspecialty Group of Pharyngolaryngology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Guideline for the diagnosis and surgical treatment of obstructive sleep apea hypopnea syndrome[J]. Chin J Otorhinolarynol Head Neck Surg, 2009, 44(2):95-96.
[2] Kono M, Tatsumi K, Saibara T, et al. Obstructive sleep apnea syndrome is associated with some components of metabolic syndrome[J]. Chest, 2007, 131(5):1387-1392.
[3] 王蓓, 邢景才, 韩长旭, 等.太原市睡眠呼吸暂停低通气综合征的流行病学调查[J].中华结核和呼吸杂志, 2004, 27(11):760-762. WANG Bei, XING Jingcai, HAN Changxu, et al. Epidemiological studies of sleep apnea-hypopnea syndrome: a questionnaire survey of Taiyuan[J]. Clin J Tuber Resp Dis, 2004, 27(11):760-762.
[4] 李进让, 孙建军, 章榕, 等.TS90%评估阻塞性睡眠呼吸暂停低通气综合征低氧血症程度的临床价值[J].中华医学杂志, 2005, 85(44):3115-3117. LI Jinrang, SUN Jianjun, ZHANG Rong, et al. Clinical value of TS90% in evaluation of hypoxemia in patients with obstructive sleep apnea/hypoventilation syndrome[J]. Chin J Med, 2005, 85(44):3115-3117
[5] Kushida C A, Efron B, Guilleminauh C. A predictive morphometric model for the obstructive sleep apnea syndrome[J]. Ann Intern Med, 1997, 127(8 Pt 1):581-587.
[6] 王莞尔, 王青青, 谢满红, 等.肥胖和年龄对飞行人员阻塞性睡眠呼吸暂停低通气综合征的影响[J].中华航空航天医学杂志, 2008,19(1):6-12. WANG Waner, WANG Qingqing, XIE Manhong, et al. Effects of obesity and age on pilots with obstructive sleep apnea-hypopnea syndrome[J]. Chin J Aerospace Med, 2008,19(1):6-12.
[7] 中国肥胖问题工作组.中国成人超重和肥胖症预防与控制指南(节录)[J].营养学报, 2004, 26(1):1-4. Group of China Obesity Task Force. Guidelines for Prevention and Control of Overweight and Obesity in Chinese Adults[J]. Acta Nutrimenta Sinica, 2004, 26(1):1-4.
[8] Eckel R H, Grundy S M, Zimmet P Z, et al. The metabolic syndrome[J]. Lancet, 2005, 365(9468):1415-1428.
[9] 付柳英, 苏晶, 赵丽英, 等.阻塞性睡眠呼吸暂停低通气综合征患者体脂分布特点研究[J].中国老年学杂志, 2007,27(1):51-53. FU Liuying, SU Jing, ZHAO Liying, et al. Distributive characteristics of body fat in the patients with OSAHS[J]. Chin J Gerontology, 2007, 27(1):51-53.
[10] 宋玮, 蒋丽君, 刘建红, 等.颈围 对阻塞性睡眠呼吸暂停低通气综合征筛查作用的研究[J].中国临床新医学, 2012,5(11):1026-1030. SONG Wei, JIANG Lijun, LIU Jianhong, et al. Research of neck circumference in preliminary diagnosis of obstructive sleep apnea hypopnea syndrome[J]. Chin J New Clin Med, 2012, 5(11):1026-1030.
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