上海市杨浦区社区居民鼾症患病率及危险因素调查  

Prevalence and Risk Factors of Snoring of Community Residents of Yangpu District of Shanghai

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]上海同济大学附属杨浦医院耳鼻咽喉头颈外科,上海市200090

出　　处：《中国全科医学》2016年第16期1960-1963,共4页Chinese General Practice

摘　　要：目的了解上海市杨浦区社区居民鼾症的患病率及危险因素。方法采用典型抽样法,在上海市杨浦区抽取长白社区、定海社区、殷行社区、江浦社区4个社区;采用随机数字表法,在该4个社区中抽取7个居民小区;在小区居委会的协助下张贴海报招募调查对象,于7:30—11:00由居委会干部协助将愿意参加调查的居民聚集在小区活动中心接受调查。于2014年4—9月,采用自行设计的调查问卷进行面对面询问调查。调查问卷的主要内容包括社区居民的一般情况、鼾症的患病情况及对鼾症的认知情况。共发放调查问卷2 600份,回收2 480份,其中有效问卷2 413份,问卷的有效回收率为92.81%。结果 2 413例社区居民中,鼾症患者317例,鼾症患病率为13.14%。单因素分析显示,不同高血压、肥胖、高脂血症、冠心病、脑梗死病史、体质指数(BMI)、睡眠中窒息感、呼吸暂停情况的社区居民的鼾症患病率比较,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,高血压病史、BMI、睡眠中有呼吸暂停及睡眠中有窒息感对鼾症患病的影响有统计学意义(P<0.05)。2 413例社区居民中,有1 587例(65.77%)认为鼾症不是病,不需要治疗;有826例(34.23%)认为鼾症是病,但其中有317例(13.14%)认为鼾症是小毛病不需要治疗,有509例(21.09%)认为鼾症是需治疗的疾病。结论上海市杨浦区社区居民的鼾症患病率为13.14%。高血压病史、BMI、睡眠中有呼吸暂停、睡眠中有窒息感是鼾症的危险因素。Objective To investigate the prevalence and and risk factors of snoring in community residents of Yangpu District of Shanghai. Methods Using typical sampling method, we selected four communities in Yangpu District of Shanghai which were Changbai Community,Dinghai Community,Yinhang Community and Jiangpu Community. Using random number table method,we selected 7 residential areas from the four communities. With the assistance of the residential committees,posters were put up to recruit residents. The residents willing to participate in survey were asked to come to the activity center from 7： 30 to11： 00. From April to September in 2014, a self- designed questionnaire was used to conduct face- to- face survey on residents,and the major content of the questionnaire included general data,condition of snoring,and cognition on the disease. A total of 2 600 questionnaires were distributed, and 2 480 were returned; there were 2 413 effective questionnaires, with an effective rate of 92. 81%. Results Among 2 413 community residents, 317 had snoring with a prevalence of 13. 14%.Univariate factor analysis showed that residents with different conditions of history of hypertension, obesity, hyperlipemia,coronary heart disease,cerebral infarction,BMI,and sensation of asphyxia and apnea during sleep were significantly different in the prevalence of snoring（ P〈0. 05）. Multivariate Logistic regression analysis showed that history of hypertension,BMI,and sensation of asphyxia and apnea during sleep had significant influence on snoring（ P〈0. 05）. Among 2 413 residents,1 587（ 65. 77%） residents thought that snoring is not a disease and dose not need treatment; 826（ 34. 23%） residents thought that snoring is a disease,but 317 residents（ 13. 14%） among them thought snoring is a minor disease and dose not need treatment;509（ 21. 09%） residents believed that snoring is a disease that needs to be treated. Conclusion The prevalence of snoring is13. 14% among community residents of Yangpu District of Shanghai.

关 键 词：打鼾 患病率 危险因素 横断面研究 

分 类 号：R195.4[医药卫生—卫生统计学]