Marshall Nathaniel S, Bartlett Delwyn J, Matharu Kabir S, Williams Anthony, Grunstein Ronald R
Woolcock Institute of Medical Research, University of Sydney, NSW, Australia.
J Clin Sleep Med. 2007 Dec 15;3(7):695-9.
To assess the prevalence of treatment and diagnosis of snoring and sleep apnea in the population of New South Wales Australia.
Postal survey of 10,000 people randomly selected from the electoral roll, half aged 18 to 24 and half aged 25 to 64, with telephone follow-up for some nonresponders. Weighted prevalences are reported.
The overall response rate was 35.6% (18-24 n = 1421 and 25-64 n = 1879). One hundred and fifty-nine respondents reported seeking medical help for snoring or sleep apnea (6.3%, 95% confidence interval 5.46-7.12%), with 133 of these being aged 25 to 64. Fifty-one respondents reported subsequent treatment (2.0%; 95% CI 1.49-2.43), with some reporting more than 1 treatment. Continuous positive airway pressure was received in 17 cases, mandibular advancement splints in 9 cases, and upper airway or nasal surgery in 31 cases. Eighty-six reported receiving an overnight sleep study (polysomnography). Most surgical patients did not report having their sleep measured with a sleep study (22/31).
The population of New South Wales has had the longest potential exposure to continuous positive airway pressure. However, few of those in even the middle-aged group reported ever being recommended continuous positive airway pressure treatment. It is more common to have a surgical intervention for snoring or sleep apnea. Surprisingly, most surgical patients do not report any associated sleep study to quantify their snoring or sleep apnea or measure the efficacy of surgery. Since a substantial proportion of patients who experience snoring and sleep apnea are not assessed via a sleep study, it is necessary to increase awareness of undergoing such clinical procedures.
评估澳大利亚新南威尔士州人群中打鼾和睡眠呼吸暂停的治疗及诊断情况。
从选民名单中随机抽取10000人进行邮寄调查，其中一半年龄在18至24岁之间，另一半年龄在25至64岁之间，对部分未回复者进行电话随访。报告加权患病率。
总体回复率为35.6%（18 - 24岁组n = 1421，25 - 64岁组n = 1879）。159名受访者报告曾因打鼾或睡眠呼吸暂停寻求医疗帮助（6.3%，95%置信区间5.46 - 7.12%），其中133人年龄在25至64岁之间。51名受访者报告随后接受了治疗（2.0%；95%CI 1.49 - 2.43），一些人报告接受了不止一种治疗。17例接受持续气道正压通气治疗，9例接受下颌前移矫治器治疗，31例接受上气道或鼻腔手术。86人报告接受了夜间睡眠监测（多导睡眠图）。大多数手术患者未报告接受过睡眠监测来评估睡眠情况（22/31）。
新南威尔士州人群接触持续气道正压通气的潜在时间最长。然而，即使在中年组中，很少有人报告曾被推荐接受持续气道正压通气治疗。对打鼾或睡眠呼吸暂停进行手术干预更为常见。令人惊讶的是，大多数手术患者未报告进行过任何相关的睡眠监测来量化其打鼾或睡眠呼吸暂停情况或评估手术效果。由于相当一部分经历打鼾和睡眠呼吸暂停的患者未通过睡眠监测进行评估，因此有必要提高对接受此类临床检查的认识。
