老年人打鼾与颈动脉斑块的相关性研究  

The study on the correlation between snoring and carotid artery plaques in the elderly population

作　　者：王张锋[1] 姚涛[2] 王立英[1] 于文成[1] 

机构地区：[1]河北唐山市开滦总医院林西医院耳鼻咽喉科,河北唐山063103 [2]河北唐山市开滦总医院林西医院内科

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第11期582-584,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨老年人打鼾与颈动脉斑块的关系。方法:对纳入本研究的67例打鼾者和61例健康查体者进行统一鼾症调查问卷及颈动脉超声检查,并对颈动脉斑块的相关危险因素进行多因素Logistic回归分析。结果:不打鼾者61例,轻度打鼾者18例,中度打鼾者24例,重度打鼾者25例,4组患者颈动脉斑块的检出率分别为19.7%、44.4%、62.5%和84.0%,组间差异有统计学意义(P<0.05)。影响颈动脉斑块的Logistic回归结果,校正其他因素后显示中、重度打鼾为颈动脉斑块的危险因素,其OR(95%CI)值依次为4.378(1.181-16.225)、19.572(3.316-115.528)。结论:老年人中、重度打鼾与颈动脉斑块的患病率增加有关,是颈动脉斑块的危险因素。Objective： To explore the correlation between snoring and carotid artery plaques in the elderly population.Method： Sixty-seven patients with snoring and 61 healthy volunteers accepted questionnaire on sleep apnea were analyzed in the survey.Multivariate Logistic regression analysis was used to analyze the factors affecting carotid artery plaques.Result： Among the non-soners（n=61）,mild snorer（n=18）,moderate snorers（n=24）and severe snorers（n=25）groups,the prevalence of carotid artery plaques in four groups were 19.7%,44.4%,62.5%,84.0% respectively.There was statistically significant differences between groups.After multivariable adjustment,the moderate and severe snorers were still risk factors affecting carotid artery plaques,the OR（95%CI） values were 4.378（1.181-16.225）,and 19.572（3.316-115.528） respectively.Conclusion： The moderate and severe snoring in the elderly population were relevant to the increased prevalence of carotid artery plaques,and was a risk factor on carotid artery plaques.

关 键 词：老年人 打鼾 颈动脉斑块 

分 类 号：R653.4[医药卫生—外科学]