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[承德市居家调查睡眠呼吸暂停低通气综合征的流行病学研究]

[Epidemiologic study on sleep apnea-hypopnea syndrome by home investigation in Chengde city].

作者信息

Zhang Qing, He Quan-ying, Du Qiu-yan, Pang Gui-feng, Zhao Li-shuang, Wu Rui-qin, Han Fang, Liu Li-cheng, Wang Ying, Sun Gui-xiang, Liu Xiao-yan, Zhao Zhi-wei

机构信息

Department of Respiratory Disease, Affiliated Hospital of Chengde Medical College, Chengde 067000, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2003 May;26(5):273-5.

Abstract

OBJECTIVE

To investigate the prevalence of sleep apnea-hypopnea syndrome (SAHS) among adults aged over 30 yr in Chengde city of Hebei province.

METHODS

1 168 subjects (over 30 yr) were derived from a random sample of the population among the Shuangqiao district in Chengde city. All subjects were asked at home to answer questions about their snoring, daytime sleepiness, and habits of smoking and drinking. According to the degree of snoring, 127 moderate and severe snorers were measured by portable PSG for a whole night and the prevalence of SAHS was estimated according to AHI and ESS scores.

RESULTS

1 168 subjects (95.42%) answered the questions. The prevalence of snoring was 53.76%. The prevalence of moderate and severe snoring (>or= second degree) was 28.25%. The prevalence of snoring increased with age before the age of 70. The prevalence of snoring in males was significantly higher than that in females. Smoking and drinking groups were associated with a higher prevalence of snoring. The prevalence of snoring was higher in drivers (42.00%) than that in other populations. The estimated prevalence of SAHS according to both the AHI > 5 and the ESS >or= 9 was 4.63%.

CONCLUSIONS

The estimated prevalence of SAHS among adults aged over 30 yr in Chengde city was 4.63%. It means that SAHS needs better understanding and more study.

摘要

目的

调查河北省承德市30岁以上成年人睡眠呼吸暂停低通气综合征(SAHS)的患病率。

方法

1168名30岁以上受试者来自承德市双桥区人群的随机样本。所有受试者在家中被询问有关打鼾、日间嗜睡以及吸烟和饮酒习惯的问题。根据打鼾程度,对127名中度和重度打鼾者进行便携式多导睡眠图(PSG)整夜测量,并根据睡眠呼吸暂停低通气指数(AHI)和 Epworth嗜睡量表(ESS)评分估算SAHS的患病率。

结果

1168名受试者(95.42%)回答了问题。打鼾患病率为53.76%。中度和重度打鼾(≥二度)患病率为28.25%。70岁之前打鼾患病率随年龄增加。男性打鼾患病率显著高于女性。吸烟和饮酒组打鼾患病率较高。司机的打鼾患病率(42.00%)高于其他人群。根据AHI>5且ESS≥9估算的SAHS患病率为4.63%。

结论

承德市30岁以上成年人中SAHS的估算患病率为4.63%。这意味着SAHS需要更好的认识和更多的研究。

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