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打鼾作为疾病的一个风险因素:一项流行病学调查。

Snoring as a risk factor for disease: an epidemiological survey.

作者信息

Norton P G, Dunn E V

出版信息

Br Med J (Clin Res Ed). 1985 Sep 7;291(6496):630-2. doi: 10.1136/bmj.291.6496.630.

Abstract

In a study conducted in four family practice units in Toronto, Canada, 2001 subjects reported on snoring and medical conditions in members of their households. For spouses the prevalence of snoring increased with age up to the seventh decade, with a higher prevalence of nearly 85% in husbands. For 11 medical problems an association existed between snoring, its frequency, and the presence of the condition. This association continued when the data were corrected for sex, age, and marital state. For hypertension both men and women who snored between the fifth and 10th decades had a twofold increase over non-snorers. The prevalence of heart disease and other conditions, except for diabetes and asthma, also increased in snorers in this age group. When corrected for smoking and obesity the association between snoring, hypertension, and heart disease persisted. These findings extend those of Lugaresi et al, and if they could be confirmed snoring as a risk factor for conditions other than sleep apnoea and sleep disorders might be considered. Methods of alleviating the acoustic annoyance of snoring may also provide direct medical benefits.

摘要

在加拿大多伦多四个家庭医疗单位开展的一项研究中,2001名受试者报告了其家庭成员的打鼾情况和健康状况。对于配偶而言,打鼾的患病率随年龄增长至七十岁,丈夫中近85%的患病率更高。对于11种健康问题,打鼾、其频率与该疾病的存在之间存在关联。在校正性别、年龄和婚姻状况后,这种关联依然存在。对于高血压,五到十岁之间打鼾的男性和女性比不打鼾者患病率高出两倍。在这个年龄组中,打鼾者的心脏病和其他疾病(糖尿病和哮喘除外)的患病率也有所增加。在校正吸烟和肥胖因素后,打鼾、高血压和心脏病之间的关联仍然存在。这些发现扩展了卢加雷西等人的研究结果,如果能够得到证实,那么打鼾作为除睡眠呼吸暂停和睡眠障碍之外其他疾病的危险因素可能会被考虑。减轻打鼾产生的噪音干扰的方法也可能带来直接的医疗益处。

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引用本文的文献

本文引用的文献

1
Is snoring a risk factor?
Chest. 1981 Nov;80(5):525-6. doi: 10.1378/chest.80.5.525.
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Electrocardiographic signs of pulmonary hypertension in children who snore.打鼾儿童肺动脉高压的心电图征象
Br Med J (Clin Res Ed). 1981 May 16;282(6276):1579-81. doi: 10.1136/bmj.282.6276.1579.
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Snoring and its treatment.打鼾及其治疗。
Br Med J (Clin Res Ed). 1984 Aug 11;289(6441):335-6. doi: 10.1136/bmj.289.6441.335.
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Arch Intern Med. 1983 Jun;143(6):1221-8.
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Arch Intern Med. 1979 Jan;139(1):24.
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Sleeping and breathing.
N Engl J Med. 1978 Nov 2;299(18):1009-11. doi: 10.1056/NEJM197811022991811.

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