中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2009年
2期
88-91
,共4页
肥胖症%睡眠呼吸暂停综合征%超重
肥胖癥%睡眠呼吸暫停綜閤徵%超重
비반증%수면호흡잠정종합정%초중
Obesity%Sleep apnea syndromes%Overweight
目的 通过对飞行人员肥胖参数与阻塞性睡眠呼吸暂停低通气综合征(OSAHS)关系的分析,更好地指导OSAHS防治.方法 对飞行人员进行问卷调查,测量身高、体重、颈围(NC)及腰围(WC),计算体重指数(BMI).对打鼾者和(或)Epworth嗜睡量表(ESS)评分39分者,随机进行脉搏容积血氧饱和度初筛检测.临床高度怀疑OSAHS者和氧减饱和指数≥10次/h者,进行整夜多导睡眠图(PSG)监测.根据检查结果分为三组:OSAHS组、单纯鼾症组和正常组.分析BMI、NC、WC与OSAHS的关系.结果 1063名飞行人员中,超重399例(37.54%)、肥胖36例(3.39%);NC增粗130例(12.23%)、WC增大354例(33.30%).各组中肥胖参数异常发生率和BMI、NC、WC的平均水平,均为OSAHS组＞单纯鼾症组＞正常组,三组间比较差异具有显著性意义(P＜0.05).logistic多元回归分析显示,超重、肥胖和腰围增大与打鼾显著相关(P＜0.05),而打鼾者中颈围增粗与OSAHS显著相关(P＜0.05).结论 肥胖参数BMI、NC、WC增加是飞行人员患OSAHS的危险因素,应针对危险因素采取有效防治措施.
目的 通過對飛行人員肥胖參數與阻塞性睡眠呼吸暫停低通氣綜閤徵(OSAHS)關繫的分析,更好地指導OSAHS防治.方法 對飛行人員進行問捲調查,測量身高、體重、頸圍(NC)及腰圍(WC),計算體重指數(BMI).對打鼾者和(或)Epworth嗜睡量錶(ESS)評分39分者,隨機進行脈搏容積血氧飽和度初篩檢測.臨床高度懷疑OSAHS者和氧減飽和指數≥10次/h者,進行整夜多導睡眠圖(PSG)鑑測.根據檢查結果分為三組:OSAHS組、單純鼾癥組和正常組.分析BMI、NC、WC與OSAHS的關繫.結果 1063名飛行人員中,超重399例(37.54%)、肥胖36例(3.39%);NC增粗130例(12.23%)、WC增大354例(33.30%).各組中肥胖參數異常髮生率和BMI、NC、WC的平均水平,均為OSAHS組＞單純鼾癥組＞正常組,三組間比較差異具有顯著性意義(P＜0.05).logistic多元迴歸分析顯示,超重、肥胖和腰圍增大與打鼾顯著相關(P＜0.05),而打鼾者中頸圍增粗與OSAHS顯著相關(P＜0.05).結論 肥胖參數BMI、NC、WC增加是飛行人員患OSAHS的危險因素,應針對危險因素採取有效防治措施.
목적 통과대비행인원비반삼수여조새성수면호흡잠정저통기종합정(OSAHS)관계적분석,경호지지도OSAHS방치.방법 대비행인원진행문권조사,측량신고、체중、경위(NC)급요위(WC),계산체중지수(BMI).대타한자화(혹)Epworth기수량표(ESS)평분39분자,수궤진행맥박용적혈양포화도초사검측.림상고도부의OSAHS자화양감포화지수≥10차/h자,진행정야다도수면도(PSG)감측.근거검사결과분위삼조:OSAHS조、단순한증조화정상조.분석BMI、NC、WC여OSAHS적관계.결과 1063명비행인원중,초중399례(37.54%)、비반36례(3.39%);NC증조130례(12.23%)、WC증대354례(33.30%).각조중비반삼수이상발생솔화BMI、NC、WC적평균수평,균위OSAHS조＞단순한증조＞정상조,삼조간비교차이구유현저성의의(P＜0.05).logistic다원회귀분석현시,초중、비반화요위증대여타한현저상관(P＜0.05),이타한자중경위증조여OSAHS현저상관(P＜0.05).결론 비반삼수BMI、NC、WC증가시비행인원환OSAHS적위험인소,응침대위험인소채취유효방치조시.
Objective To investigate the relationship between obesity parameters and obstructive sleep apnea-hypopnea syndrome (OSAHS) in aircrew. Methods A questionnaire survey in aircrew members was performed. Outcome measurement included body height, body weight, neck circumference ( NC), waist circumference (WC), and body mass index (BMI). Those with snoring during sleep and/or Epworth sleepiness scale (ESS)score ≥ 9 were screened with pulse oxygen saturation test during overnight sleep. Those with oxygen saturation decrease index ≥ 10 times/h and suspected OSAHS were tested by polysomnography (PSG). The objects were then assigned to three groups: the OSAHS group,the snore group and the normal group. The relationship between obesity parameters and OSAHS was analyzed. Results There were 399 ( 37. 54% ) overweight, 36 ( 3. 39% ) obesity, 130 ( 12. 23% ) increased NC, and 354 (33.30%)increased WC in 1063 aircrew members (OSAHS group ＞ snore group ＞ normal group; P＜O. 05). The mean value of BMI, NC and WC in the three groups were dittos. Multiple logistic regression analysis showed that overweight, obesity and increased WC were significantly associated with snoring (P ＜0.05) and snoring enlarged NC was significantly correlated with OSAHS (P＜ 0.05). Conclusion Increased BMI, NC and WC may be risk factors of OSAHS among aircrew. Effective prevention and treatment of OSAHS should be needed.
