交通肇事司机82例睡眠打鼾调查分析  

Epidemiologic Study on snoring of 82 Drivers in traffic accidents

作　　者：张庆[1] 黄砚颖 魏冰 邢志俐[1] 郑鸿飞[1] 张勃[1] 姜峰[1] 赵志伟[1] 何权瀛[3] 

机构地区：[1]承德医学院附属医院呼吸科,河北067000 [2]河北省承德监狱医院 [3]北京大学人民医院呼吸科

出　　处：《交通医学》2013年第1期40-42,共3页Medical Journal of Communications

摘　　要：目的:通过对交通肇事服刑的司机睡眠打鼾患病率调查,呼吁社会为保障交通安全,应重视司机鼾症问题。方法:选取交通肇事服刑汽车司机82例,由监狱医师进行问卷填写,对2级及2级以上打鼾者进行统计分析。结果:(1)在被调查82例服刑司机中,从不打鼾者占总数48例(58.54%),有不同程度打鼾者占34例(41.46%),≥2级打鼾14例(17.07%)中,2级打鼾者5例(6.10%);3级打鼾者4例(4.88%);4级打鼾5例(6.10%)。服刑司机中偶尔饮酒34例(41.47%),经常饮酒9例(10.98%),肇事前24小时饮酒20例(24.39%),疲劳驾驶19例(23.17%),肇事前不清醒22例(26.83%),肇事前未采取措施19例(23.17%),违章驾驶30例(36.59%),行驶路况不熟悉21例(25.61%)。(2)应用日间Epworth嗜睡量表(ESS)评分≥9分为标准,对打鼾组34例和非打鼾组48例进行ESS评分比较,打鼾组9例(26.47%),而非打鼾者2例(4.17%),两组比较差异有统计学意义(χ2=8.52,P<0.01)。服刑的司机认为打鼾不是病39例(47.56%),打鼾是病但不需要治疗11例(13.41%),打鼾是病需要治疗31例(37.80%),已经接受过治疗仅1例(1.21%)。结论:(1)交通肇事服刑的司机鼾症的患病率较高;(2)打鼾造成交通肇事与其它因素造成交通肇事的司机发生率十分接近;(3)交通肇事服刑司机年龄轻、文化程度低,对打鼾是病的认识程度相对较低,需要加大睡眠打鼾和由此引发的睡眠呼吸暂停对交通肇事危害的警惕及宣传,也需要国家行政干预对于重症打鼾的司机进行驾驶限制。Objective：To investigate the prevalence of snoring in drivers in traffic trouble and their effects on the traffic safety. Methods：Questionnaires were given to drivers in traffic accidents in prisons of Hebei, and then statistical aMlysies of the secondary snorings or above were done. Results：Among the 82 drivers the rate of no snorings and snorings were 58.54% and 41.46% respectively, the incidence of secondary snorings or above was 17.07% the traffic accident 24.39%,who fatigued 23.17%,who were unconscious 26.83%,who did not adopt measures 23.17%,who were illegal driving 36.59%,who were unfamiliar with the way 25.61%. The ones who fatigued in driving （the standard was daytime Epworth Sleepiness Scale ≥ 9） in the snoring group were 9 （26.47%,9/34）,the ones in the nonsnoring group were2 （4.17%,2/48）,there were statistically significant differences between the two groups（x2=8.52,P〈0.01 ）.Among the snorings,the rate of healthy ones was 47.56%,when they were a disease but did not need therapy the rate was 13.41%,when they needed therapy the rate was 37.80% and when they were already treated the rate was 1.2%. Conclusion：The prevalence of snoring in drivers in traffic ac- cidents is 41.46%; It is similar between snoring and other factors in traffic accidents,but we do not pay enough attention to it. Inattention, sleepiness and nap are the main reasons in traffic accidents in snoring drivers. Drivers in traffic accidents are young and have little awareness of snoring,so we and our govenment should pay attention to snoring and OSAS in drivers.

关 键 词：打鼾 交通肇事 服刑 司机 

分 类 号：R181.2[医药卫生—流行病学]