新疆和田地区墨玉县35～74岁人群睡眠状况与慢性病共病关系的研究  

Study of the relationship between the sleep status and chronic comorbidities among people aged 35～74 years of Moyu, Hetian, Xinjiang

作　　者：张国珍[1] 田恬[1] 裴华莲 符文慧[1] 罗涛[1] 陈珍 戴江红 ZHANG Guozhen;TIAN Tian;PEI Hualian;FU Wenhui;LUO Tao;CHEN Zhen;DAI Jianghong(School of Public Health, Xinjiang Medical University, Urumqi 830011, China;the First Affiliated Hospital, Xinjiang Medical University, Urumqi 830011, China)

机构地区：[1]新疆医科大学公共卫生学院,乌鲁木齐830011 [2]新疆医科大学第一附属医院,乌鲁木齐830011

出　　处：《新疆医科大学学报》2019年第10期1244-1248,1254,共6页Journal of Xinjiang Medical University

基　　金：国家重点研发计划“精准医学研究”重点专项子课题(2017YFC0907203)

摘　　要：目的探讨新疆和田地区墨玉县成年人睡眠状况与慢性病共病患病的关系。方法选取新疆和田地区墨玉县参与"新疆多民族自然人群队列建设研究"的人群作为研究对象,通过多因素Logistic回归模型分析睡眠状况与慢性病共病患病的关系。结果调查人群慢性病共病患病率为43.0%,入睡困难、睡眠时间≤6 h、容易早醒、经常打呼噜等睡眠症状的比例分别为20.5%、19.3%、13.0%、6.2%。入睡困难(OR=2.609,95%CI:2.370-2.873)、容易早醒(OR=2.639,95%CI:2.347-2.968)、药物助眠(OR=3.196,95%CI:2.392-4.271)、经常打呼噜(OR=1.884,95%CI:1.608-2.206)均与慢性病共病患病存在关联。与睡眠时间8 h相比,睡眠时间不足(≤6 h)与共病患病存在关联(OR=1.870,95%CI:1.686-2.074),睡眠时间过长(≥9 h)与共病未见关联(OR=0.937,95%CI:0.761-1.155)。结论不良睡眠状况与慢性病共病患病存在关联,改善睡眠状况对慢性病共病防治具有积极的意义。Objective To explore the relationship between sleep status and the risk of chronic comorbidities among the adults in Hetian, Xinjiang. Methods The population of Moyu, Hetian, Xinjiang had been enrolled into a cohort study of Xinjiang multi-ethnic cohort study. Multiple logistic regression models were used to investigate the association between the sleep status and chronic comorbidities after adjusting for potential confounders. Results Among the subjects, 43.0% had chronic comorbidities. The proportions of difficultly falling asleep, shorter sleep duration(≤6 hours), early morning arousal and snoring frequently was 20.5%, 19.3%, 13.0% and 6.2%. After controlling for possible confounders, the subjects with difficulty falling sleep(OR=2.609, 95%CI: 2.370-2.873), early morning arousal(OR=2.639, 95%CI: 2.347-2.968), using hypnotics regularly(OR=3.196, 95%CI: 2.392-4.271) or snoring frequently(OR=1.884, 95%CI: 1.608-2.206) had a higher risk of chronic comorbidities. Compared with 8 hours sleep duration daily, shorter sleep duration(≤6 hours) was associated with risk of chronic comorbidities(OR=1.870, 95%CI: 1.686-2.074). No statistical significant association was found between longer sleep duration(≥9 hours) and the risk of chronic comorbidities(OR=0.937, 95%CI: 0.761-1.155). Conclusion Sleep problems were associated with the risk of chronic comorbidities. Improving sleep problems is of positive significance for the prevention and treatment of chronic comorbidities.

关 键 词：睡眠状况 慢性病 共病 

分 类 号：R193[医药卫生—卫生事业管理]