山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (5): 10-13.doi: 10.6040/j.issn.1673-3770.0.2014.031

• 睡眠呼吸障碍性疾病 • 上一篇    下一篇

打鼾相关流行病学现状及其影响因素调查研究——以徐州地区为例

葛星1, 吕玲双1, 潘铭1, 时巧梅1, 许建峰1, 林友结1, 孙雅慧2, 神平3   

  1. 1. 徐州医学院公共卫生学院, 江苏 徐州 221004;
    2. 徐州医学院口腔医学学院, 江苏 徐州 221004;
    3. 徐州医学院附属医院耳鼻咽喉科, 江苏 徐州 221004
  • 收稿日期:2014-01-21 发布日期:2014-10-16
  • 作者简介:葛星。E-mail：601507720@qq.com

An epidemiological survery of severe snoring and SAHS in Xuzhou

GE Xing1, LÜ Ling-shuang1, PAN Ming1, SHI Qiao-mei1, XU Jian-feng1, LIN You-jie1, SUN Ya-hui2, SHEN Ping3   

  1. 1. College of Public Health, the Affiliated Hospital of Xuzhou Medical College, Xuzhou 221004, Jiangsu, China;
    2. College of Dentistry, the Affiliated Hospital of Xuzhou Medical College, Xuzhou 221004, Jiangsu, China;
    3. Department of Otolaryngology, the Affiliated Hospital of Xuzhou Medical College, Xuzhou 221004, Jiangsu, China
  • Received:2014-01-21 Published:2014-10-16
  • Contact: 神平。E-mail：shenpingdoctor@163.com E-mail:shenpingdoctor@163.com

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摘要： 目的 以徐州地区为例，了解人群重度打鼾及睡眠呼吸暂停低通气综合征(SAHS)流行病学现状及危险因素。方法 应用随机抽样的方法，以调查问卷方式进行入户调查。筛查出有SAHS指征的对象进行多导睡眠监测，确诊SAHS阳性。采用EpiData3.0软件建立数据库，使用双录入核查比对的方式在Epidata3.0下录入。并应用SPSS 13.0软件分析数据。结果 实际获得有效问卷1 223份(有效率94.1%)。调查显示徐州地区3级及以上打鼾患病率为14.0%，SAHS阳性的患病率为6.2%。3级及以上打鼾的危险因素有性别、饮酒、高血压、体质量指数(BMI)、鼻咽部疾病、家族史等。结论 徐州地区重度打鼾及SAHS的患病率较其他地区低。可以通过控制饮酒、控制血压、保持正常体质量指数、防治鼻咽部疾病等方法减少3级及以上打鼾的发病概率。

关键词: 重度打鼾, 危险因素, 睡眠呼吸暂停低通气综合征, Logistic回归分析

Abstract: Objective To investigate the current situation and risk factors for severe snoring and sleep apnea hypopnea syndrome (SAHS) in Xuzhou area. Methods In Xuzhou, three urban areas and three rural areas were investigated with questionnaire by using random cluster sampling. The SAHS subjects underwent further polysomnography. With a database established by EpiData3.0 software, all the data was inputed based on the protocol of double entry verification and analyzed by SPSS 13.0. Results The effective questionnaire obtained was 1 223 (effective rate: 94.1%), including 473 men(38.7%) and 750 females(61.3%). The prevalence of snoring at grade 3 or above was 14.0%, while the prevalence of positive SAHS was 6.2% The risk factors consisted of gender, drinking, hypertension, BMI, nasopharyngeal diseases, and family history etc. Conclusion The prevalence of severe snoring and SAHS in Xuzhou is lower than other regions, which can be reduced by containing the risk factors, such as drinking, blood pressure, body mass index, nasopharyngeal diseases and so on.

Key words: Hazards, Logistic regression, Sleep Apnea Hypopnea Syndrome, Severe snoring

中图分类号: 

  • R766.7
[1] 中华医学会呼吸学分会睡眠呼吸疾病学组.阻塞性睡眠呼吸暂停低通气综合征诊治指南(草案)[J]. 中华结核和呼吸杂志,2002,25(12)：195-198. The Chinese medical association respiratory branch of sleep respiratory disease group. Diagnosis and treatment guidelines (draft) of obstructive sleep apnea hypopnea syndrom[J]. Chin J Tuberculosis Respiratory Dise, 2002, 25(12)：195-198.
[2] 张庆,何权瀛,杜秋艳,等. 承德市区居民睡眠呼吸暂停低通气综合征患病率入户调查[J].中华结核和呼吸杂志,2003,26(5):273-275. ZHANG Qing, HE Quanying, DU Qiuyan, et al. Epidemiologic study on sleep apnea-hypopnea syndrome by home investigation in Chengde city[J]. Chin J Tuberculosis Respiratory Dise, 2003, 26(5):273-275.
[3] 刘建红,韦彩周,黄陆颖,等.广西地区打鼾及阻塞性睡眠呼吸暂停低通气综合征的流行病学调查[J]. 中华流行病学杂志,2007,28(2)：115-118. LIU Jianhong, WEI Caizhou, HUANG Luying, et al. Snoring and obstructivesleep apnea hypopnea syndrome in Guangxi area to suspend theepidemiological survey[J]. Chin J Epidemiol, 2007, 28(2):115-118.
[4] 黄绍光,李庆云.上海市区30岁以上居民鼾症流行病学初步调查[J]. 诊断理论与实践,2003,2(1)：35-37. HUANG Shaoguang, LI Qingyun. A preliminary epidemiological investigation of snoring residents over 30 years old in Shanghai city[J]. Diagnosis Theory Practice, 2003, 2(1):35-37.
[5] Gottlieb D J, Yao Q, Redline S, et al. Does snoring predict sleepiness independently of apnea and hypopneafrequency[J]. Am J Respir Crit Care Med, 2000, 162(4pt1):1512-1517.
[6] Puvanendran K, Goh K L. From snoring to sleep apnea in a Singapore population[J]. Sleep Res Online, 1999, 2(3):11-14.
[7] 上海市医学会呼吸病学分会睡眠呼吸疾病学组.上海市30岁以上人群阻塞性睡眠呼吸暂停低通气综合征流行病学调查[J].中华结核和呼吸杂志, 2003, 2(1): 268-272. Respiratory disease branch of sleep breathing disorder group of the Shanghai Medical Association. People over 30 years old in Shanghai city of obstructive sleep apnea hypopnea syndrome epidemiology survey[J]. Chin J Tuberculosis Respiratory Dis, 2003, 2 (1):268-272.
[8] 高雪梅,赵颖,曾祥龙,等.北京地区鼾症和睡眠呼吸暂停综合征的流行病学研究[J]. 口腔正畸学,1997,4(4)：162-165. GAO Xuemei, ZHAO Ying, ZENG Xianglong, et al. Snoring and sleep apnea syndrome respiratory Beijing area epidemiological studies[J]. Orthodontics, 1997, 4(4):162-165.
[9] 李延忠,王廷础,王欣,等.阻塞性睡眠呼吸暂停综合征合并高血压患者的睡眠监测分析[J]. 山东大学耳鼻喉眼学报,2003,5(1)：257-260. LI Yanzhong, WANG Tingchu, WANG Xin, et al. Sleep monitoring in patients with obstructive sleep apnea syndrome analysis[J]. J Otolaryngol Ophthalmol Shandong University, 2003, 5(1):257-260.
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