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[阿菲永卡拉希萨尔地区小学生习惯性打鼾和睡眠呼吸紊乱的患病率]

[Prevalence of habitual snoring and sleep-disordered breathing in primary school children in Afyonkarahisar].

作者信息

Fidan Fatma, Unlü Mehmet, Sezer Murat, Kara Ziya

机构信息

Department of Chest Disease, Faculty of Medicine, Afyon Kocatepe University, Afyon, Turkey.

出版信息

Tuberk Toraks. 2005;53(4):379-85.

Abstract

Obstructive sleep apnea syndrome affects 0.7-3% of children and snoring is an important symptom. We aimed to evaluate the prevalence of habitual snoring and sleep-disordered breathing in primary school students in Afyonkarahisar city. There are 41 primary schools in üç education regions in Afyonkarahisar city. One school from each region was randomly selected and all the students in that school were given a questionnaire. Of the 1100 given questionnaires 786 (71.5%) were filled in adequately and were accepted for evaluation. Of the students 407 (51.8%) were girls and 379 (48.2%) were boys. Mean age was 9.9 +/- 2.0 (7-15). The prevalence of habitual snoring was found as 4.8%. With regard to gender, occasional snoring and habitual snoring was significantly more prevalent than never snoring in boys. The prevalence of sleep disordered breathing symptoms was found to be significantly higher in habitual snorers. Maternal and paternal smoking frequency and passive smoke exposure was more common in habitual snorers but there were no significant differences among the groups. Hyperactivity symptoms were significantly higher in habitual snorers. In our study, school performance was found to be 10.9 folds lower in habitual snorers than non-snorers. We think that questioning the obstructive sleep apnea syndrome symptoms in children and performing diagnostic procedures and treatment when suspected will decrease the morbidity.

摘要

阻塞性睡眠呼吸暂停综合征影响0.7%-3%的儿童,打鼾是一个重要症状。我们旨在评估阿菲永卡拉希萨尔市小学生习惯性打鼾和睡眠呼吸紊乱的患病率。阿菲永卡拉希萨尔市三个教育区域有41所小学。从每个区域随机选择一所学校,该校所有学生都收到一份问卷。在发放的1100份问卷中,786份(71.5%)填写完整并被接受用于评估。学生中,407名(51.8%)为女生,379名(48.2%)为男生。平均年龄为9.9±2.0岁(7-15岁)。习惯性打鼾的患病率为4.8%。在性别方面,偶尔打鼾和习惯性打鼾在男孩中比从不打鼾明显更普遍。习惯性打鼾者睡眠呼吸紊乱症状的患病率明显更高。习惯性打鼾者的母亲和父亲吸烟频率及被动吸烟暴露情况更常见,但各群体之间无显著差异。习惯性打鼾者的多动症状明显更高。在我们的研究中,发现习惯性打鼾者的学业成绩比不打鼾者低10.9倍。我们认为,询问儿童阻塞性睡眠呼吸暂停综合征症状,并在怀疑时进行诊断程序和治疗,将降低发病率。

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