CAJ | 학술논문

目的调查克拉玛依市区35岁以上习惯性打鼾患者中睡眠呼吸暂停低通气综合征的患病率,比较汉、维族及不同性别间的差异.方法采用流行病调查的方法对克拉玛依市天山社区2 353例居民进行入户睡眠问卷调查问卷内容包括打鼾情况、测量身高、体质量、颈围、腹围对1 120例鼾症人群进行夜间睡眠呼吸监测其中汉族609例,维族511例.结果呼吸紊乱指数相匹配的汉、维族间在体质量指数(BMI) [(25.2±3.3) kg/m2 vs(28.2士4.5)kg/m2]、颈围[(35.8±3.3) cmvs(37.5±3.2) cm]、腹围[(88.7士10.1)cm vs (97.2±11.3) cm]、氧减指数(ODI4)[(16.3±0.7)次/h vs (10.9±0.9)次/h]、夜间最低氧饱和度( LSaO2)[(80.7土8.3)％vs (83.1±6.5)％]、呼吸暂停指数(AHI)[(10.9土0.6)次/hvs(8.5士0.7)次/h]等方面差异有统计学意义(P值均＜0.05).汉、维族间男性SAHS的发生率(27.3％ vs 16.4％)、女性SAHS的发生率(24.8％ vs 19.4％)差异有统计学意义(P值均＜0.01).结论克拉玛依市区天山社区35岁以上汉族鼾症人群SAHS的患病率为52.1％维族为35.8％汉族鼾症人群中男性SAHS患病率高于女性,维族鼾症人群中女性SAHS患病率高于男性.
목적 조사극랍마의시구35세이상습관성타한환자중수면호흡잠정저통기종합정적환병솔,비교한、유족급불동성별간적차이.방법 채용류행병조사적방법대극랍마의시천산사구2 353례거민진행입호수면문권조사 문권내용포괄타한정황、측량신고、체질량、경위、복위 대1 120례한증인군진행야간수면호흡감측 기중한족609례,유족511례.결과 호흡문란지수상필배적한、유족간재체질량지수(BMI) [(25.2±3.3) kg/m2 vs(28.2사4.5)kg/m2]、경위[(35.8±3.3) cmvs(37.5±3.2) cm]、복위[(88.7사10.1)cm vs (97.2±11.3) cm]、양감지수(ODI4)[(16.3±0.7)차/h vs (10.9±0.9)차/h]、야간최저양포화도( LSaO2)[(80.7토8.3)％vs (83.1±6.5)％]、호흡잠정지수(AHI)[(10.9토0.6)차/hvs(8.5사0.7)차/h]등방면차이유통계학의의(P치균＜0.05).한、유족간남성SAHS적발생솔(27.3％ vs 16.4％)、녀성SAHS적발생솔(24.8％ vs 19.4％)차이유통계학의의(P치균＜0.01).결론 극랍마의시구천산사구35세이상한족한증인군SAHS적환병솔위52.1％ 유족위35.8％ 한족한증인군중남성SAHS환병솔고우녀성,유족한증인군중녀성SAHS환병솔고우남성.
Objective To study the prevalence of sleep-disordered breathing in habitual snoring in adults aged over 35 years in kelamayi city,and to compare the difference between Han nationality and Uygur nationality,female and male.Methods 2 353 subjects(age≥35) were derived from the population living in tianshan 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 concerning snoring etc.and meaturing the height,weight,neck circumference,abdominal circumference,1 120 subjects have respiration and pulse oximeter testing.Include 609 subjects of Han nationality and 511 subjects of Uygur nationality.Results The respiratory disturbance index (RDI) matched patients with sleep-disordered breathing of Han nationality and Uygur nationality.The body mass[ (25.2± 3.3) kg/m2 vs (28.2 ± 4.5) kg/m2 ],neck circumference [(35.8 ± 3.3) cm vs(37.5 ± 3.2) cm],abdominal circumference [(88.7 ±10.1) cm vs (97.2±11.3) cm],oxygen desaturation over 4％ per hour sleep ＞5 times(ODI4) [(16.3±0.7) times/h vs ( 10.9 ± 0.8) times/h],the nadir arterial oxygen saturation ( LSaO2 ) [ (80.7 ± 8.3) ％ vs (83.1 ± 6.5) ％],AHI [(6.0±0.4) times/h vs (3.4±0.3) times/h] and hypopnea index ( HI)[( 16.5±0.6) times/h vs (12.2±0.5) times/h] were significantly different bettween lower and higher risk snoring groups ( P ＜0.01).The AHI [(10.9±0.6) times/h vs(8.5±0.7) times/h]were significantly different bettween Han nationality and Uygur nationality sleep-disordered breathing groups,there are significant difference on the prevalence of sleep-disordered breathing between male of Han nationality and Uygur nationality snoring groups (27.3％ vs 16.4 ％),female of Han nationality and Uygur nationality snoring groups (24.80％ vs 19.4％) ( P ＜0.01 ).Conclusions The prevalence of sleep-disordered breathing in snoring in Han nationality adults over 35 years old was 52.1 ％ in kelamayi city,Uygur nationality was 35.80％,the prevalence of sleep apnea-hypopnea syndrome with snoring in male of Han nationality was higher than Uygur nationality.The prevalence of sleep apnea-hypopnea syndrome with snoring in female of Uygur nationality was higher than Han nationality.