CAJ | 학술논문

目的探讨阻塞性睡眠呼吸暂停低通气综合征和相关合并症间的相关性.方法 2006年3月至6月,采用问卷调查的方式了解本地区1573名常住居民的高血压和打鼾情况,有效问卷1547份.通过多导睡眠监测了解347例中重度打鼾者的阻塞性睡眠呼吸暂停低通气综合征发病情况,同时采用多因素分析筛查高血压的高危因素.结果 1547例中高血压184例(11.9%),标化后高血压患病率10.0%,糖尿病49例(2.7%),高血脂212例(10.4%).结合白天嗜睡症状ESS评分≥9,阻塞性睡眠呼吸暂停低通气综合征患病率为2.2%(34例).确诊为阻塞性睡眠呼吸暂停低通气综合征的40例中有32.5%患有高血压,远远高于不打鼾组(8.3%)和打鼾组(17.1%).采用logistic同归分析筛选出年龄、性别、阻塞性睡眠呼吸暂停低通气综合征、糖尿病、高血脂为高血压的高危因素,其中阻塞性睡眠呼吸暂停低通气综合征位居第三.结论阻塞性睡眠呼吸暂停低通气综合征是高血压的高危影响因素之一.
목적 탐토조새성수면호흡잠정저통기종합정화상관합병증간적상관성.방법 2006년3월지6월,채용문권조사적방식료해본지구1573명상주거민적고혈압화타한정황,유효문권1547빈.통과다도수면감측료해347례중중도타한자적조새성수면호흡잠정저통기종합정발병정황,동시채용다인소분석사사고혈압적고위인소.결과 1547례중고혈압184례(11.9%),표화후고혈압환병솔10.0%,당뇨병49례(2.7%),고혈지212례(10.4%).결합백천기수증상ESS평분≥9,조새성수면호흡잠정저통기종합정환병솔위2.2%(34례).학진위조새성수면호흡잠정저통기종합정적40례중유32.5%환유고혈압,원원고우불타한조(8.3%)화타한조(17.1%).채용logistic동귀분석사선출년령、성별、조새성수면호흡잠정저통기종합정、당뇨병、고혈지위고혈압적고위인소,기중조새성수면호흡잠정저통기종합정위거제삼.결론 조새성수면호흡잠정저통기종합정시고혈압적고위영향인소지일.
Objective To investigate relationship between obstructive sleep apnea hypoventilation syndrome(OSAHS) and hypertension.Methods Questionnaire survey was conducted among 1573 local permanent residents in Guangzhou during March and June 2006 to understand prevalence of hypertension and snoring,and polysomnography monitoring was performed for 347 of them with moderate and severe snoring to estimate prevalence of OSAHS.Risk factors for hypertension was screened with multivariate logistic regression analysis.Results In total,1547 copies of valid questionnaires were collected,and 184 cases (11.9%) of hypertension were found with a prevalence of 10Department of Endocrinology,Shanxi Provincial People's Hospital,Taiyuan 030012,China 0%,49 of diabetes with a prevalence of 2.7%,and 212 of dyslipidemia with a prevalence of 10.4%.Prevalence of OSAHS was found in 34 of them (2.2% ) with Epworth sleepiness scale (ESS) score equal to or greater than nine.Prevalence of hypertension in OSAHS group was 32.5%,much higher than that in non-snoring group (8.3% ) and snoring group ( 17.1% ).Results of logistic regression analysis showed that age,gender,OSAHS,diabetes and dyslipidemia all were high-risk factors for hypertension,with OSAHS ranking the third.Conclusion OSAHS is one of high-risk factors for hypertension.