[长春市20岁以上成年人阻塞性睡眠呼吸暂停低通气综合征的患病率]

[The prevalence of obstructive sleep apnea-hypopnea syndrome in adults aged over 20 years in Changchun city].

作者信息

Li Ming-xian, Wang Ying, Hua Shu-cheng, Li Chun-mei, Wang Mu-peng, Liu Yang, Li Zhong-min, Wang Chun-yong, Fan Jin-rong, Wang Jing-Hua, Kong Fan-yu, Wang Min

机构信息

Department of Respiratory Medicine, First Hospital of Jilin University, Changchun 130021, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2005 Dec;28(12):833-5.

PMID:16409785

Abstract

OBJECTIVE

To investigate the prevalence of obstructive sleep apnea-hypopnea syndrome (OSAHS) in adults aged over 20 years in Changchun city, providing epidemiological data for treatment and prevention of the disease.

METHODS

3,960 subjects were derived from a stratified cluster and random sampling of the population in two districts of Changchun city. They were asked to answer the questions from a questionnaire in their houses. According to the degree of snoring, 200 subjects with a snoring score >or= 2 degree were selected to undergo polysomnography for a whole night and the prevalence of the disease was estimated.

RESULTS

A total of 3,648 (97.64%) validated questionnaires was collected. Of them 31.00% had a snoring score >or= 2 degree, the prevalence was higher in males (40.07%) than in females (21.76%). The prevalence of snoring was higher in drivers (42.47%) than in other occupations. The estimated prevalence of OSAHS defined by apnea-hypopnea index (AHI) >or= 5, Epworth sleepiness scale (ESS) >or= 9 and arterial oxygen saturation (SaO(2)) < 90% was 4.81%.

CONCLUSIONS

The estimated prevalence of OSAHS in adults aged over 20 years in Changchun city was 4.81%. Doctors should pay more attention to the disease and the ordinary people should be informed of the health impact of snoring and OSAHS.

摘要

目的

调查长春市20岁以上成年人阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的患病率，为该病的治疗和预防提供流行病学资料。

方法

选取长春市两个区的人群进行分层整群随机抽样，共3960名受试者。让他们在家中回答问卷问题。根据打鼾程度，选取200名打鼾评分≥2级的受试者进行整夜多导睡眠图监测，并估算该病的患病率。

结果

共收集到有效问卷3648份（97.64%）。其中31.00%的受试者打鼾评分≥2级，男性患病率（40.07%）高于女性（21.76%）。司机的打鼾患病率（42.47%）高于其他职业。以呼吸暂停低通气指数（AHI）≥5、Epworth嗜睡量表（ESS）≥9和动脉血氧饱和度（SaO₂）<90%定义的OSAHS估计患病率为4.81%。