摘要
目的调查克拉玛依市区35岁以上习惯性打鼾患者中睡眠呼吸暂停低通气综合征的患病率，比较汉、维族及不同性别间的差异。方法采用流行病调查的方法对克拉玛依市天山社区2353例居民进行人户睡眠问卷调查，问卷内容包括打鼾情况、测量身高、体质量、颈同、腹围，对1120例鼾症人群进行夜间睡眠呼吸监测，其中汉族609例，维族511例。结果呼吸紊乱指数相匹配的汉、维族间在体质量指数（BMI）[（25．2±3．3）kg／m2 VS（28．2±4．5）kg／m2]、颈围[（35．8±3．3）cmVS（37．5±3．2）cm]、腹围[（88．7±10．1）cm vs（97．2±11．3）cm]、氧减指数（ODI4）[（16．3±0．7）次／hVS（10．9±0．9）次／h]、夜间最低氧饱和度（LSaO2）[（80．7±8．3）％VS（83．1±6．5）％]、呼吸暂停指数（AHI）[（10．9±0．6）次／hVS（8．5±0．7）次／h]等方面差异有统计学意义（P值均〈0．05）。汉、维族间男性SAHS的发生率（27．3％VS16．4％）、女性SAHS的发生率（24．8％VS19．4％）差异有统计学意义（P值均〈0．01）。结论克拉玛依市区天山社区35岁以上汉族鼾症人群SAHS的患病率为52．1％，维族为35．8％，汉族鼾症人群中男性SAHS患病率高于女性，维族鼾症人群中女性SAHS患病率高于男性。
Objective To study the prevalence of sleep-disordered breathing in habitual snoring in adults aged over 35 years in kelamayi city, and to compare the difference between Han nationality and Uygur nationality, female and male. Methods 2 353 subjects（age≥35） were derived from the population living in tianshan districts in kelamayi city. All subjects were asked at home to answer questions about their snoring by himself or bed partner. They were asked to answer the questions concerning snoring etc. and meaturing the height, weight, neck circumference, abdominal circumference, 1 120 subjects have respiration and pulse oximeter testing. Include 609 subjects of Han nationality and 511 subjects of Uygur nationality. Results The respiratory disturbance index （RDI） matched patients with sleep-disordered breathing of Han nationality and Uygur nationality. The body mass[（25.2±3.3） kg/m2 vs （28.2±4.5） kg/m2 ], neck circumference [ （ 35.8 ± 3.3） cm vs （ 37.5 ±3.2） cm], abdominal circumference [ （88.7 ± 10.1） cm vs （97.2±11.3） cm],oxygen desaturation over 4% per hour sleep 〉5 times（ODI4） [（16.3± 0.7） times/h vs （10.9±0.8） times/hi,the nadir arterial oxygen saturation （LSaO2）[（80.7±8.3）% vs （83.1±6.5）%],AHI [（6.0±0.4） times/h vs （3.4±0.3） times/hi and hypopnea index （HI）[（16.5± 0.6 ） times/h vs （12.2± 0.5） times/hi were significantly different bettween lower and higher risk snoring groups （ P 〈0.01）. The AHI [（10. 9±0. 6） times/h vs（8. 5±0. 7） times/h]were significantly different bettween Han nationality and Uygur nationality sleep-disordered breathing groups, there are significant difference on the prevalence of sleep-disordered breathing between male of Han nationality and Uygur nationality snoring groups （27.3% vs 16.4% ）,female of Han nationality and Uygur nationality snoring groups （24.8% vs 19.4% ）（ P〈 0.01 ）. Conclusions The prevalence of sleep-disordered breathing in snoring in Han nationality adults over 35 years old was 52.1% in kelamayi city, Uygur nationality was 35.8% ,the prevalence of sleep apnea hypopnea syndrome with snoring in male of Han nationality was higher than Uygur nationality. The prevalence of sleep apnea-hypopnea syndrome with snoring in female of Uygur nationality was higher than Han nationality.
出处
《国际呼吸杂志》
2011年第23期1788-1791,共4页
International Journal of Respiration
基金
基金项目：新疆维吾尔自治区卫生厅青年科学基金支助项目（2007Y21）
克拉玛依市科技经费支助项目（SK2007-23）
