海拔4300m移居人群睡眠呼吸暂停低通气综合征流行病学调查  

Prevalence of Sleep Apnea-hypopnea Syndrome in Immigrants at an Altitude of 4300 meters

作　　者：哈振德[1] 简新琼[2] 

机构地区：[1]解放军第18医院,新疆叶城844900 [2]解放军兰州军区乌鲁木齐总医院,新疆乌鲁木齐830000

出　　处：《临床军医杂志》2006年第5期612-615,共4页Clinical Journal of Medical Officers

摘　　要：目的了解高原移居人群睡眠呼吸暂停低通气综合征(SAHS)的患病率,为制定该病的防治策略提供依据。方法采用整群抽样的方法对移居海拔4 300 m的西藏阿里地区某部官兵进行睡眠问卷调查,分别统计不同年龄、移居高原不同时间、进入高原不同次数人群中不同程度打鼾的发生率,并对被调查者白天的嗜睡情况进行评分。结果在调查的571人中打鼾的发生率为46.76%,其中中、重度打鼾者占14.01%。吸烟和饮酒与打鼾程度相关。随着高原暴露时间的延长,轻度打鼾者增多(χ2=35.909,P=0.000)。进入高原环境1次以上者较首次进入高原者轻、中度打鼾发生率有升高趋势,但在统计学上无显著性差异(χ2=7.665,P=0.053)。不同程度的打鼾患者,日间的嗜睡评分有非常显著性差异(F=16.952,P=0.000)。结论如果仅依据日间Epworth嗜睡量表(ESS)评分≥9分为标准,保守估计海拔4 300 m高原移居青年SAHS的患病率为6.83%,是影响高原移居者健康的重要问题之一,应当引起足够的重视。Objective To investigate the prevalence of sleep apnea - hypopnea syndrome （SAHS） in the immigrants at 4 300 meters＇altitude so as to provide data for making strategies for the treatment and prevention of this disorder. Methods A total of 592 subjects were derived from a randomized sample of the population living at an altitude of 4300 meters. They were asked to answel the questions from a questionnaire concerning snoring, daytime sleepiness, duration and times of high altitude exposure, and habits such as smoking and drinking, etc. The prevalence of SAHS was estimated from the result. Results Of the 592 subjects, 571 （94.06%） had answered the questionnaire. The prevalence of ever snoring was 46.76% , moderate and severe ones 14.01%. Smoking and drinking groups were associated with a higher prevalence of snoring. The duration and times of high altitude exposure were associated with the severity of snoring, particularly with mild and moderate snoring. ESS was significantly different among snorers with various severities. Conclusion According to ESS （ 29）, the conservatively estimated prevalence of SAHS at an altitude of 4300 meters was 6.83%, which is a great problem to the immigrants and implies that the disease needs better understanding and studying.

关 键 词：高海拔 打鼾 睡眠呼吸暂停低通气综合征 流行病学 

分 类 号：R339.5[医药卫生—人体生理学]