长春市某事业单位工作人员鼾症与OSAHS筛查及危险因素调查  

Investigation of the Screening and Hazards of Sleep Apnea and OSAHS among Personnel in a Public Institution,Changchun

作　　者：徐丹[1] 张秀敏[1] 王桂茹[2] 李晶华[1] 刘红箭[1] 王昕晔[1] 李琳[1] 赵嘉珩[1] 黄晓燕[1] 

机构地区：[1]吉林大学公共卫生学院,长春130021 [2]吉林大学第一医院,长春130021

出　　处：《医学与社会》2013年第6期1-4,共4页Medicine and Society

基　　金：吉林省科技厅项目;编号为20100598;吉林省卫生厅项目;编号为2010R00273

摘　　要：目的:初步筛查长春市某直属机关事业单位工作人员阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的可疑人群,为该病的常规化筛查提供相关依据。方法:采用方便抽样的方法对在吉林大学第一医院进行健康体检的439名长春市某直属机关事业单位在职工作人员进行问卷调查,由专业医务人员进行常规体检的信息采集,以中重度打鼾结合日间嗜睡评分大于等于9分为标准对OSAHS进行初筛。结果:46.7%的人认为打鼾是病需要治疗;中重度打鼾者占33.9%;初步筛查出7.7%的OSAHS的可疑人群。Logistic回归分析表明,体重指数是打鼾与OSAHS的独立危险因素。结论:长春市该事业单位工作人员的打鼾认知水平不高,鼾症与OSAHS可疑人群的检出率较高,控制体重是预防鼾症与OSAHS的关键,体检的同时进行OSAHS的初筛是一种预防OSAHS可行有效方法,对于引导OSAHS可疑人群及早进一步的检查治疗有重要意义。Objective：To screen the suspicious group of obstructive sleep apnea hyperpnoea syndrome （OSAHS） among personnep in a pub- lic institution, Changchun, and prooide conventional screening of the disease with relevant uidence. Methods： On the principle of convenience sampling ,439 civil servants who made the physical examination in Jilin university first hospital were investigated by questionnaires under the guid- ance of investigator. Evaluate the degree of snoring and daytime sleepiness. Preliminary screening is on the basis of the standard cohether the grade is equal to or greater than 9. Results ： 46.7% people think snoring is a kind of illness which needs treatment. 33.9% of the respondents are mod- erate to severe patients. 7.7 % people eoere suspicious of suffering from OSAHS. According to regression analysis,weight is the independent factor of snoring and OSAHS. Conclusion： These personel in Changchun know little about snoring and the response rate of the risk group of obstructive sleep apnea and OSAHS is high. The key to the prevention of snoring and OSAHS is weight control. Preliminary screening is also the effective way together with physical examination which plays an important role in further examination of suspicious group of OSAHS.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 打鼾 日间嗜睡 

分 类 号：R163[医药卫生—公共卫生与预防医学]