长春市20岁以上人群阻塞性睡眠呼吸暂停低通气综合征流行病学现况调查  

The prevalence of obstructive sleep apnea-hypopnea syndrome in adults aged over 20 years in Changchun city

作　　者：李明娴[1] 王莹[1] 华树成[1] 李春梅[1] 王慕朋[1] 刘阳[1] 李忠民[1] 王春勇[1] 范金荣[1] 王晶华[1] 孔凡玉[1] 王敏[1] 

机构地区：[1]吉林大学第一医院呼吸科,长春130021

出　　处：《中华结核和呼吸杂志》2005年第12期833-835,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：国家自然科学基金资助项目(V30270502)

摘　　要：目的调查长春市20岁以上居民阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的患病状况,为该病的防治提供依据。方法采用分层整群随机抽样的方法,选择长春市朝阳区和绿园区部分20岁以上常驻居民3 960名为调查对象,进行入户调查,从打鼾≥2级者中随机抽样200名,行整夜睡眠呼吸监测,估算人群OSAHS的患病状况。结果有效问卷3 648份(有效率97.64%),≥2级打鼾为31.00%,男性(40.07%)高于女性(21.76%);不同职业中,司机组最高(42.47%)。以睡眠呼吸暂停低通气指数(AH I)≥5次/h加Epworth嗜睡量表(ESS)评分≥9分、夜间最低血氧饱和度<90%为标准,估算人群OSAHS的患病率为4.81%。结论长春市20岁以上人群OSAHS的患病率为4.81%,人们对打鼾和OSAHS的发生尚未引起足够的重视,应加强宣传教育工作。Objective To investigate the prevalence of obstructive sleep apnea-hypopnea syndrome （OSAHS） in adults aged over 20 years in Changchun city,providing epidemiological data for treatment and prevention of the disease, Methods 3 960 subjects were derived from a stratified cluster and random sampling of the population in two districts of Changchun city, They were asked to answer the questions from a questionnaire in their houses, According to the degree of snoring,200 subjects with a snoring score≥2 degree were selected to undergo polysomnography for a whole night and the prevalence of the disease was estimated, Results A total of 3 648 （97.64% ） validated questionnaires was collected. Of them 31.00% had a snoring score≥2 degree,the prevalence was higher in males（40. 07% ） than in females（21.76% ）. The prevalence of snoring was higher in drivers （42. 47% ） than in other occupations. The estimated prevalence of OSAHS defined by apnea-hypopnea index （AHI） ≥5, Epworth sleepiness scale （ESS） t〉9 and arterial oxygen saturation （SaO2 ） 〈 90% was 4. 81%. Conclusions The estimated prevalence of OSAHS in adults aged over 20 years in Changchun city was 4. 81%. Doctors should pay more attention to the disease and the ordinary people should be informed of the health impact of snoring and OSAHS.

关 键 词：打鼾 睡眠呼吸暂停低通气综合征 阻塞性 流行病学 

分 类 号：R56[医药卫生—呼吸系统]