错（牙合）畸形青少年儿童中鼾症的发病情况调查  

Prevalence of snoring in adolescents with malocclusion

作　　者：邓金荣[1] 高雪梅[1] 弓煦[1] 曾祥龙[1] 

机构地区：[1]北京大学口腔医学院·口腔医院正畸科,100081

出　　处：《中华口腔正畸学杂志》2011年第1期32-35,共4页Chinese Journal of Orthodontics

基　　金：国家自然基金（30872915）和首都发展基金（2007-3009）

摘　　要：目的 研究错（牙合）畸形儿童中鼾症的患病情况和相关因素.样本和方法样本来自2008年7月至2009年2月在我院就诊的18岁以下的正畸初诊患者,对其家长进行儿童睡眠,呼吸和一般健康方面的问卷调查,运用SPSS14.0进行数据分析,对身高、体重、BMI（Body Mass Index体块指数）、打鼾情况和口呼吸情况进行描述性统计,对频繁打鼾与身高、体重、BMI指数、口呼吸情况、夜间睡眠情况、睡眠时间、睡眠姿势、扁桃体状况、腺样体病史以及父母亲是否打鼾进行相关性分析.并以频繁打鼾为因变量,以相关因素为自变量进行Logistics回归分析.结果 共发放问卷3 000份,收回有效问卷2 658份,问卷回收率为88.6%.问卷青少年儿童平均年龄为12.39岁±2.70岁;男性1 604例,女性1 421例.平均身高为155.81 cm±14.51 cm,平均体重45.66 kg±13.52 kg,平均BMI指数为18.49 kg/m2±3.91 kg/m2.样本筛出青少年儿童夜间频繁打鼾者48例,占样本总人数的1.8%.Logistics回归的结果认为青少年儿童是否频繁睡眠打鼾与性别、睡眠状况、其他睡眠异常、腺样体、口呼吸和BMI指数相关.结论 鼾症在错（牙合）青少年儿童中的患病率大约为1.8%.在各相关因素中,男性性别、口呼吸、夜间经常醒、其他睡眠异常、腺样体增生、肥胖与青少年儿童发生鼾症显著相关.Objective To investigate the prevalence of frequent snoring and the correlation factors in adolescents with malocclusion. Method Patients in the study came from Peking University School and Hospital of Stomatology. Participants＇ caretakers completed questionnaires about health and sleep. Data was analyzed by means of SPSS14. 0 package for descriptive statistics and Pearson correlation test. Correlation factors were estimated by logistic regression to identify the relation between snoring and age, BMI index, sex, sleep time, other sleep disorders, sleep position, oral breathing, sleep situation, genetic factors, adenoid, tonsil problems and other breathing diseases.Results Three thousand questionaires were distributed and 2 658 completed questionnaires were collected. The average age, height, weight, BMI index were 12. 45 yr±2. 7 yr, 156 cm±14. 2 cm,45. 98 kg± 13. 5 kg and 18. 5 kg/m2 ±3. 86 kg/m2, respectively. Forty-eight adolescents were found having frequent snoring during sleep. The proportion was 1. 8%. From the logistic estimation,frequent snoring was markedly related to male sex, BMI index, sleep situation, other sleep disorders,adenoid situation and oral breathing. Conclusions The prevalence of frequent snoring in adolescents with malocclusion was estimated to be 1.8%. Frequent snoring was multi-factorial in etiology.

关 键 词：儿童鼾症 患病率 相关因素 

分 类 号：R76[医药卫生—耳鼻咽喉科]