上海市杨浦区老年人鼾症流行病学调查  

Epidemiological investigation of snoring among the elderly in Yangpu District of Shanghai City

作　　者：刘慧茹[1] 金杰[1] 裘轶辉[1] 肖汉琼[1] 谢书华[1] 徐永昌[1] 董晶[1] 

机构地区：[1]同济大学附属杨浦医院耳鼻咽喉头颈外科,上海200090

出　　处：《中国耳鼻咽喉头颈外科》2016年第3期163-166,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的了解上海市杨浦区老年人鼾症的患病率及流行病学特征。方法采用整群抽样的方法对上海市杨浦区≥60岁常住居民1630名进行问卷调查,推算老年人群鼾症的患病率,并对老年人鼾症的患病情况进行相关危险因素分析。对老年人鼾症与常见临床并发症的关系进行相关因素分析。结果 1630份调查问卷,回收有效问卷1489份,有效率为91.35%。习惯性打鼾213名,鼾症患病率为14.3%。Logistic回归分析发现肥胖是老年人鼾症的危险因素。多因素分析显示并发高血压症及夜间睡眠质量差的老年人鼾症患病率高于正常老年人,差异具有统计学意义。结论上海市杨浦区老年人鼾症患病率较高,肥胖是其患病危险因素。老年人鼾症的临床表现较隐匿,多表现为睡眠质量差或并发高血压病。OBJECTIVE To investigate the morbidity rate and the epidemiological characteristics of snoring among the elderly in Yangpu District of Shanghai City.METHODS One thousand six hundred and thirty persons（≥60 years） were investigated through questionnaires in Yangpu District of Shanghai City by a method of cluster sampling.The prevalence and risk factors of snoring were estimated.The relationship between snoring and the common clinical complications was observed by correlation factor analysis.RESULTS 1630 questionnaires were provided,among which 1489 questionnaires（91.35%）were effective for evaluation.Of 1489 subjects,213（14.3%）subjects had habitual snoring.Multivariate analysis revealed that obesity as a significant risk factor of snoring.The prevalence rate of snoring in the elderly with hypertension and poor quality of sleep was higher than that in the normal elderly.CONCLUSION The prevalence of snoring in the elder persons（≥60 years） in Yangpu District of Shanghai City is high.Obesity is a significant risk factor of snoring.The main clinical presentations of snoring in the elderly are atypical by the performance of poor sleep quality and the complication of hypertension.

关 键 词：流行病学 危险因素 老年人 鼾症 

分 类 号：R766[医药卫生—耳鼻咽喉科]