Kart Levent, Dutkun Yalçın, Altın Remzi, Ornek Tacettin, Kıran Sibel
Department of Chest Diseases, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey.
Tuberk Toraks. 2010;58(3):261-7.
Obstructive sleep apnea syndrome obstructive sleep apnea syndrome is associated with symptoms including habitual snoring, witness apnea and excessive daytime sleepiness. Also obstructive sleep apnea syndrome is related to some occupations which are needed attention for work accident. We aimed to determine the prevalence of snoring, witnessed apnea and excessive daytime sleepiness in coal workers and healthy adults in Zonguldak city center, and also evaluate the differences between these groups. This study consisted of 423 underground coal workers and 355 individuals living in centre of Zonguldak. Study and comparison group were chosen by nonstratified randomized sampling method. Data were collected by a questionnaire that included information regarding snoring, witnessed apnea and excessive daytime sleepiness. Mean age was 43.3 ± 6.05 years in miners and 44.3 ± 11.8 years in comparison group. In miners, snoring frequency was determined as 42.6%, witnessed apneas were 4.0%, and daytime sleepiness were 4.7%. In comparison group, these symptoms were 38.6%, 4.8% and 2.8% respectively. There were no statistical differences between coal workers and comparison group in these symptoms. Also snoring prevalence was higher in smoker miners. We found that major symptoms of obstructive sleep apnea syndrome in coal workers are similar to general population in Zonguldak. Further studies that constucted higher populations and with polysomnography are needed to evaluate these findings.
阻塞性睡眠呼吸暂停综合征 阻塞性睡眠呼吸暂停综合征与习惯性打鼾、目击性呼吸暂停和日间过度嗜睡等症状相关。此外，阻塞性睡眠呼吸暂停综合征还与一些职业有关，这些职业因工作事故需要引起关注。我们旨在确定宗古尔达克市中心煤矿工人和健康成年人中打鼾、目击性呼吸暂停和日间过度嗜睡的患病率，并评估这些群体之间的差异。本研究包括423名地下煤矿工人和355名居住在宗古尔达克市中心的个体。研究组和对照组采用非分层随机抽样方法选取。通过一份包含打鼾、目击性呼吸暂停和日间过度嗜睡信息的问卷收集数据。矿工的平均年龄为43.3±6.05岁，对照组为44.3±11.8岁。在矿工中，打鼾频率为42.6%，目击性呼吸暂停为4.0%，日间嗜睡为4.7%。在对照组中，这些症状分别为38.6%、4.8%和2.8%。煤矿工人和对照组在这些症状方面没有统计学差异。此外，吸烟的矿工打鼾患病率更高。我们发现，煤矿工人阻塞性睡眠呼吸暂停综合征的主要症状与宗古尔达克的普通人群相似。需要进一步开展更大规模人群的研究并进行多导睡眠图检查来评估这些发现。
