睡眠呼吸暂停低通气综合征患者的相关危险因素分析  

Analysis of Related Factors of Sleep Apnea-hypopnea Syndrome

作　　者：何忠明[1] 单敏 韩芳[3] 艾山江.肉孜 韩美荣[1] 李敏[1] 郭红[1] 宋镇[1] 

机构地区：[1]新疆克拉玛依市中心医院呼吸科,新疆克拉玛依834000 [2]新疆阜康市准东采油厂职工医院内科,新疆阜康831511 [3]北京大学人民医院呼吸科,北京100044

出　　处：《新疆医学》2012年第4期37-41,共5页Xinjiang Medical Journal

基　　金：中德科学中心基金支助项目(编号GZ538);新疆维吾尔自治区卫生厅青年科学基金支助项目(编号:2007Y21);克拉玛依市科委资助项目(SK2008-23)

摘　　要：目的:调查克拉玛依市区35岁以上汉、维吾尔族鼾症人群睡眠呼吸暂停低通气综合征(SAHS)的发病率及其相关危险因素,为该病的防治提供依据。方法:采用整群抽样的方法对克拉玛依市区3个社区35岁以上常住居民进行入户鼾症问卷调查,对1121例鼾症人群进行夜间睡眠呼吸监测。其中汉族582例,维族539例。结果:克拉玛依市区35岁以上习惯性鼾症患者中汉族SAHS患病率为26.7%,维吾尔族为15.3%。SAHS患病率随年龄的增加而增加、汉、维吾尔族男女性SAHS患病率均随腹围的增加而增加.维吾尔族SAHS患病率随颈围的增加而增加。体质量指数正常或超重的鼾症患者中SAHS患病率汉族高于维吾尔族(18.0%比5.9%和19.4比8.6%)(P<0.01),维吾尔族肥胖患者中SAHS患病率高于汉族(17.8%比14.6%)(P<0.01)。结论:克拉玛依市区35岁以上鼾症人群SAHS患病率存在民族差异,汉族高于维吾尔族,年龄、腹围、打鼾、民族、性别是睡眠呼吸暂停低通气的主要危险因素。Objectives To Study the prevalence of sleep apnea hypopnea syndrome （SAHS） in Snoring in Hart nationality and Uyghur nationality in adults aged over 35 years in kelamayi city. and to define the factors association of SAHS, to provide data for treatment and prevention of this disorder. Methods： 1121 subjects（ aged≥ 35yr） were derived from a random sample of the population living in three districts in Kelamayi city. All Sub jects were asked at home to answer questions about their snoring by himself or bed partner. 1121 subjects have respiration and pulse oximeter testing. Include 582 subjects of Hail nationality and 539 subjects of Uyghur na tionality. Result： the prevalence of SAHS in Snoring in adults over 35 years old was 26.7% in Han nationality in kelamayi city ,and 15.3% in Uyghur nationality, the prevalence of SAHS increased with age, abdominal circumference , the prevalence of SAHS in Uyghur nationality increased with neck circumference, the body mass were normal and overweight with Han nationality and Uyghur nationality, the prevalence of SAHS in Han nationality were higher than Uyghur nationality（ 18.0% VS 5.9% and 19.4 VS 8.6% ） （P 〈 0.01 ）. ,thebody mass were obesity with Han nationality and Uyghur nationality, the prevalence of SAHS in Uyghur na tionality were higher than Han nationality（17.8% VS 14.6% ）（P 〈0.01 ）. Conclusions： The prevalence of SAHS with snoring and were significantly different between Han nationality and Uyghur nationality. The preva lence of SAHS with snoring of Han nationality was higher than Uyghur nationality. Ages, abdominal circumfer ence, snoring, sex and nationality were main risk factors of sleep Apnea hypopnea syndrome.

关 键 词：睡眠呼吸暂停低通气综合征 危险因素 流行病调查 患病率 

分 类 号：R766.43[医药卫生—耳鼻咽喉科]