Zheng Tao, Zhang Li, Tian Guang-yong, Yu Qiao-lian, Liao Rui-heng, Liang Li-na
Department of Otorhinolaryngology, Head and Neck Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2013 Jun;31(6):422-4.
To investigate the prevalence rates of snoring disease and obstructive sleep apnea-hypopnea syndrome (OSAHS) and their risk factors among truck drivers in Guangzhou, China.
A questionnaire survey was conducted in 374 truck drivers who were selected from 5 logistics companies in Guangzhou by cluster sampling. Those who had potential snoring disease or OSAHS underwent polysomnographic monitoring at night. The obtained data were analyzed to calculate the prevalence rates of snoring disease and OSAHS and determine the risk factors for OSAHS.
A total of 335 subjects completely questionnaires, with a response rate of 90%. Among the 335 subjects, 125 (37.3%) had habitual snoring, and 42 (12.5%) had OSAHS according to the diagnostic criterion (apnea-hypopnea index ≥ 5 times/h). The multiple stepwise regression analysis showed that the risk factors for OSAHS were age, alcohol use, family history of snoring, body mass index, and upper airway abnormality. Of the subjects with grade ≥ 2 snoring and OSAHS, 65.4% often felt sleepy when driving during daytime, and 42% had suffered or nearly suffered traffic accidents due to sleepiness when driving. Moreover, 95.5% (320) of the 335 truck drivers did not consider snoring a disease, and 98% did not think traffic accident might be related to snoring.
The prevalence rates of snoring disease and OSAHS among truck drivers are 37.3% and 12.5%, respectively. Therefore, prevention measures should be established according to the epidemiological characteristics to help the truck drivers realize the hazards of snoring disease and OSAHS, thus minimizing the prevalence and hazards of the diseases.
调查中国广州卡车司机打鼾疾病和阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的患病率及其危险因素。
采用整群抽样法对广州市5家物流公司的374名卡车司机进行问卷调查。对有潜在打鼾疾病或OSAHS的司机进行夜间多导睡眠图监测。对所得数据进行分析，计算打鼾疾病和OSAHS的患病率，并确定OSAHS的危险因素。
共335名受试者完成问卷，应答率为90%。在这335名受试者中，125人（37.3%）有习惯性打鼾，42人（12.5%）根据诊断标准（呼吸暂停低通气指数≥5次/小时）患有OSAHS。多因素逐步回归分析显示，OSAHS的危险因素为年龄、饮酒、打鼾家族史、体重指数和上气道异常。在打鼾和OSAHS≥2级的受试者中，65.4%在白天驾驶时经常感到困倦，42%曾因驾驶时困倦而发生或险些发生交通事故。此外，335名卡车司机中有95.5%（320人）不认为打鼾是一种疾病，98%的人认为交通事故可能与打鼾无关。
卡车司机打鼾疾病和OSAHS的患病率分别为37.3%和12.5%。因此，应根据流行病学特征制定预防措施，帮助卡车司机认识到打鼾疾病和OSAHS的危害，从而降低疾病的患病率和危害。
