老年阻塞性睡眠呼吸暂停低通气综合征患者高危因素调查  

Investigation of Risk factors in Elderly Patients with Obstructive Sleep Ap-nea and Hypopnea Syndrome

作　　者：戈改真[1] 王春娜[1] 孙建芳[1] 何慧洁[1] 

机构地区：[1]包头医学院第一附属医院呼吸科,内蒙古包头014000

出　　处：《中外医疗》2015年第14期62-64,共3页China & Foreign Medical Treatment

摘　　要：目的探讨老年人睡眠呼吸暂停低通气综合征的高危因素。方法调查患有睡眠呼吸暂停低通气综合征(OSAHS)的老年人786例,评估其患病的高危因素。采用logistic分析OSAHS的危险因素。结果有家族史、男性、蒙古族、高龄、独居、BMI异常、颈围及腰臀比大、有吸烟饮酒史、使用镇静剂、缺少运动、患有各种慢性疾病(高血压、冠心病、胃炎、消化性溃疡、糖尿病、COPD、脑卒中、高脂血症等)的老年人OSAHS患病率显著升高,差异有统计学意义(P<0.05)。多因素logistic分析显示,肥胖、男性、蒙族、BMI、颈围、镇静剂的使用、缺少运动、患有各种慢性疾病是OSAHS的独立危险因素(P<0.05)。结论积极防治高危因素对于有效降低OSAHS的发病率具有重要意义。Objective To find the risk factors for apnea hypopnea syndrome sleep in elderly people. Methods 786 elderly patients with sleep apnea hypopnea syndrome were investigated. Risk factors related to their disease were analyzed. The risk factors of OS-AHS were analyzed Using the logistic method. Results Family history, male, Mongolia nationality, age, living alone, BMI anomaly, and waist to hip neck circumference ratio, smoking and drinking history, use of sedatives, lack of exercise, suffering from various chronic diseases （hypertension, coronary heart disease, gastritis, peptic ulcer, diabetes, COPD, stroke, hyperlipidemia） rate elevated prevalence of elderly patients with OSAHS, the difference was statistically significant. Logistic multivariate analysis showed, obese, male, Mongolian, BMI, neck circumference, sedation, lack of exercise, suffering from various chronic diseases are independent risk factors of OSAHS. Conclusion Prevention and treatment of risk factors to reduce the incidence of OSAHS has important signifi-cance.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 老年 高危因素 流行病学调查 

分 类 号：R766[医药卫生—耳鼻咽喉科]