CAJ | 학술논문

目的调查克拉玛依市区鼾症患者中高血压的患病率,探讨鼾症、夜间低氧与高血压的关系.方法采用流行病调查的方法对克拉玛依市区3个社区1144例35岁以上常住居民进行入户睡眠鼾症问卷及高血压病史调查.问卷内容包括打鼾情况、测量身高、体质量、血压、颈围、腹围、腰围及臀围.并对鼾症及非鼾症人群进行夜间血氧监测.结果鼾症组(629例)与非鼾症组(515例)间在体质量指数(BMD[(26.7±3.9) kg/m2比(25.6±4.1) kg/m2]、颈围[(36.5±3.4)cm比(35.6±3.1)cm]、腹围[(92.8±11.3) cm比(89.8±11.3) cm]、氧减指数(ODI4)[(11.0±11.0)次/h比(6.5±7.4)次／h]、夜间平均氧饱和度(MSaO2)[(92.8±4 5)％比(93.3±2.8)％]、夜间最低氧饱和度(LSaO2)[(82.6±6.3)％比(84.0±8.0)％]、收缩压[(130.3±18.3)mm Hg比(125.1±16.5) mm Hg]和舒张压[(82.8±12.7) mm Hg比(78.5±12.1)mm Hg]等方面差异有统计学意义(P值均＜0.01).夜间低氧组与无低氧组间在BMI[(26.7±4.1) kg/m2比(25.5±3.7) kg/m2]、颈围[(36.4±3.4) cm比(35.6±3.1) cm]、腹围[(93.4±11.3) cm比(88.4±10.8) cm]、收缩压[(130.2±17.8) mm Hg比(124.5±17.0)mm Hg]和舒张压[(82.2±12.6) mm Hg比(78.7±12.3) mm Hg]等方面差异有统计学意义(P值均＜0.01).鼾症组与非鼾症组间高血压患病率(32.9％比20.2％)差异有统计学意义(P值均＜0.01).夜间低氧组与无低氧组间高血压患病率(35.9％比17.1％)差异有统计学意义(P值均＜ 0.01).结论克拉玛依市区鼾症人群中高血压的患病率为32.9％,高血压与鼾症及夜间低氧相关,打鼾和夜间低氧可引起血压增高,应引起重视.
목적 조사극랍마의시구한증환자중고혈압적환병솔,탐토한증、야간저양여고혈압적관계.방법 채용류행병조사적방법대극랍마의시구3개사구1144례35세이상상주거민진행입호수면한증문권급고혈압병사조사.문권내용포괄타한정황、측량신고、체질량、혈압、경위、복위、요위급둔위.병대한증급비한증인군진행야간혈양감측.결과 한증조(629례)여비한증조(515례)간재체질량지수(BMD[(26.7±3.9) kg/m2비(25.6±4.1) kg/m2]、경위[(36.5±3.4)cm비(35.6±3.1)cm]、복위[(92.8±11.3) cm비(89.8±11.3) cm]、양감지수(ODI4)[(11.0±11.0)차/h비(6.5±7.4)차／h]、야간평균양포화도(MSaO2)[(92.8±4 5)％비(93.3±2.8)％]、야간최저양포화도(LSaO2)[(82.6±6.3)％비(84.0±8.0)％]、수축압[(130.3±18.3)mm Hg비(125.1±16.5) mm Hg]화서장압[(82.8±12.7) mm Hg비(78.5±12.1)mm Hg]등방면차이유통계학의의(P치균＜0.01).야간저양조여무저양조간재BMI[(26.7±4.1) kg/m2비(25.5±3.7) kg/m2]、경위[(36.4±3.4) cm비(35.6±3.1) cm]、복위[(93.4±11.3) cm비(88.4±10.8) cm]、수축압[(130.2±17.8) mm Hg비(124.5±17.0)mm Hg]화서장압[(82.2±12.6) mm Hg비(78.7±12.3) mm Hg]등방면차이유통계학의의(P치균＜0.01).한증조여비한증조간고혈압환병솔(32.9％비20.2％)차이유통계학의의(P치균＜0.01).야간저양조여무저양조간고혈압환병솔(35.9％비17.1％)차이유통계학의의(P치균＜ 0.01).결론 극랍마의시구한증인군중고혈압적환병솔위32.9％,고혈압여한증급야간저양상관,타한화야간저양가인기혈압증고,응인기중시.
Objective To study the prevalence of hypertension in snoring in adults aged over 35 years in Kelamayi city.and relationship among snoring,nocturnal desaturation and hypertension.Methods 1144 subjects (age≥35) were derived from the population living in three districts in Kelamayi city.All subjects were asked at home to answer questions about their snoring by himself or bed partner.They were asked to answer the questions concerniug snoring,hypertension history etc,and meaturing the height,weight,neck circumference,abdominal circumference,waistline and hip circumference.and home pulse oximeter testing.Results The body mass index [(26.7±3.9) kg/m2 vs (25.6±4.1) kg/m2],neck circumference [(36.5 ± 3.4)cm vs ( 35.6 ± 3.1)cm],abdominal circumference [(92.8 ± l1.3) cm vs (89.8±11.3)cm],the number of desaturations≥4％ per hour (ODI4)[(11.0±11.0) times/h vs(6.5±7.4) times/h],the mean nocturnal arterial oxygen saturation ( MSaO2 ) [( 92.8 ± 4.5 ) ％ vs (93.3±2.8)％],the nadir arterial oxygen saturation (LSaO2) [(82.6 ± 6.3)％ vs (84.0 ± 8.0)％],systolic BP(SBP)[(130.3±18.3)mm Hg vs (125.1±16.5)mm Hg] and diastolic BP (DBP)[(82.8±12.7) mm Hg vs (78.5±12.1) mm Hg] were significantly different bettween with and without snoring groups ( P ＜0.01).The body mass index [(26.7±4.1)kg/m2 vs (25.5±3.7)kg/m2],neck circumference [(36.4±3.4) cm vs (35.6±3.1)cm],abdominal circumference [(93.4±11.3) cm vs (88.4±10.8) cm].SBP[(130.2±17.8) mmHg vs(124.5±17.0) mm Hg]and DBP[(82.2±12.66)mm Hg vs (78.7±12.3) mm Hg] were significantly different bettween with and without nocturnal desaturation groups ( P ＜0.01),there are significant difference on the prevaleuce of hypertension between with and without snoring groups (32.9％ vs 20.2％)( P ＜0.01),there are significant difference on the prevalence of hypertension between with and without nocturnal desaturation (35.9％ vs 17.1％)( P ＜0.01).Conclusions The prevalence of hypertension of snoring in adults over 35 yr old was 32.9％in Kelamayi city,hypertension corrclated with snoring and nocturnal desaturation,snoring and nocturnal desaturation can to cause hypertension,that the disease needs better understanding and study.