Bearpark H, Elliott L, Grunstein R, Cullen S, Schneider H, Althaus W, Sullivan C
Department of Medicine, University of Sydney, New South Wales, Australia.
Am J Respir Crit Care Med. 1995 May;151(5):1459-65. doi: 10.1164/ajrccm.151.5.7735600.
Snoring and sleeping apnea are reportedly associated with morbidity. We used home monitoring (MESAM IV) to measure snoring and sleep apnea in 294 men aged 40 to 65 yr from the volunteer register of the Busselton (Australia) Health Survey. In this group, 81% snored for more than 10% of the night and 22% for more than half the night; 26% had a respiratory disturbance index (RDI) > or = 5, and 10% had an RDI > or = 10. There was a relatively low correlation between percentage of night spent snoring and RDI (rho = 0.47, p < 0.005). Subjective daytime sleepiness plus RDI > or = 5 occurred in a minimum of 3%. Obesity was related to snoring, RDI, and minimum SaO2 (all p < 0.0001). There was no relationship between age and either RDI or snoring, but increased age was related to minimum SaO2 < 85% (p < 0.05). Alcohol consumption was not related to sleep-disordered breathing. Smokers snored for a greater percentage of the night than nonsmokers (41 versus 31%, p = 0.01). We conclude that, in middle-aged men, both snoring and sleep apnea are extremely common, and in this age range both are associated with obesity but not with age. However, a high percentage of snoring is not essential for the occurrence of sleep apnea, nor does it necessarily indicate that apnea is present.
据报道，打鼾和睡眠呼吸暂停与发病率有关。我们使用家庭监测（MESAM IV）对来自澳大利亚巴瑟尔顿健康调查志愿者登记册中294名年龄在40至65岁的男性进行打鼾和睡眠呼吸暂停测量。在这个群体中，81%的人夜间打鼾时间超过10%，22%的人超过半夜；26%的人呼吸紊乱指数（RDI）≥5，10%的人RDI≥10。夜间打鼾时间百分比与RDI之间的相关性相对较低（rho = 0.47，p < 0.005）。主观日间嗜睡加上RDI≥5的情况至少出现在3%的人身上。肥胖与打鼾、RDI和最低血氧饱和度（均p < 0.0001）有关。年龄与RDI或打鼾均无关联，但年龄增加与最低血氧饱和度<85%有关（p < 0.05）。饮酒与睡眠呼吸障碍无关。吸烟者夜间打鼾的百分比高于非吸烟者（41%对31%，p = 0.01）。我们得出结论，在中年男性中，打鼾和睡眠呼吸暂停都极为常见，在这个年龄范围内，两者都与肥胖有关，但与年龄无关。然而，高比例的打鼾对于睡眠呼吸暂停的发生并非必要条件，也不一定表明存在呼吸暂停。
