中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2011年
3期
260-263
,共4页
睡眠障碍%老年人%现况调查
睡眠障礙%老年人%現況調查
수면장애%노년인%현황조사
Sleep disorders%Elderly%Prevalence study
目的 了解太原地区老年人各种睡眠障碍的流行病学特点及失眠的相关因素.方法 采用多级抽样方法,对太原地区3173名60～100岁的老年人进行人户调查,筛选出有睡眠障碍症状者,由专科医生复查并作出诊断.结果 (1)3173名老年人中,有各种睡眠障碍症状者2132例,患病率为67.2%;其中失眠症、多梦、习惯性打鼾、日间嗜睡的患病率均较高,分别为39.65%、38.58%、26.66%、34.32%.(2)随着年龄的增长,男性老年人早醒、起夜次数多、日间嗜睡、睡眠呼吸障碍及睡眠节律紊乱的患病率有明显上升趋势(P＜0.01);随着年龄的增长,女性老年人早醒、日间嗜睡及睡眠节律紊乱的患病率也有明显上升趋势(P＜0.01).(3)经logistic回归分析,独居、情绪障碍、躯体疼痛、夜尿次数多(P＜0.01)与男性老年人失眠的发病有关;独居及麻/瘙痒等感觉异常(P＜0.01)、情绪障碍(P＜0.05)与女性老年人失眠的发病有关.结论 太原地区老年人中各种睡眠障碍的患病率有上升趋势;应注重老年人情绪、躯体疾病对睡眠的影响.
目的 瞭解太原地區老年人各種睡眠障礙的流行病學特點及失眠的相關因素.方法 採用多級抽樣方法,對太原地區3173名60～100歲的老年人進行人戶調查,篩選齣有睡眠障礙癥狀者,由專科醫生複查併作齣診斷.結果 (1)3173名老年人中,有各種睡眠障礙癥狀者2132例,患病率為67.2%;其中失眠癥、多夢、習慣性打鼾、日間嗜睡的患病率均較高,分彆為39.65%、38.58%、26.66%、34.32%.(2)隨著年齡的增長,男性老年人早醒、起夜次數多、日間嗜睡、睡眠呼吸障礙及睡眠節律紊亂的患病率有明顯上升趨勢(P＜0.01);隨著年齡的增長,女性老年人早醒、日間嗜睡及睡眠節律紊亂的患病率也有明顯上升趨勢(P＜0.01).(3)經logistic迴歸分析,獨居、情緒障礙、軀體疼痛、夜尿次數多(P＜0.01)與男性老年人失眠的髮病有關;獨居及痳/瘙癢等感覺異常(P＜0.01)、情緒障礙(P＜0.05)與女性老年人失眠的髮病有關.結論 太原地區老年人中各種睡眠障礙的患病率有上升趨勢;應註重老年人情緒、軀體疾病對睡眠的影響.
목적 료해태원지구노년인각충수면장애적류행병학특점급실면적상관인소.방법 채용다급추양방법,대태원지구3173명60～100세적노년인진행인호조사,사선출유수면장애증상자,유전과의생복사병작출진단.결과 (1)3173명노년인중,유각충수면장애증상자2132례,환병솔위67.2%;기중실면증、다몽、습관성타한、일간기수적환병솔균교고,분별위39.65%、38.58%、26.66%、34.32%.(2)수착년령적증장,남성노년인조성、기야차수다、일간기수、수면호흡장애급수면절률문란적환병솔유명현상승추세(P＜0.01);수착년령적증장,녀성노년인조성、일간기수급수면절률문란적환병솔야유명현상승추세(P＜0.01).(3)경logistic회귀분석,독거、정서장애、구체동통、야뇨차수다(P＜0.01)여남성노년인실면적발병유관;독거급마/소양등감각이상(P＜0.01)、정서장애(P＜0.05)여녀성노년인실면적발병유관.결론 태원지구노년인중각충수면장애적환병솔유상승추세;응주중노년인정서、구체질병대수면적영향.
Objective To investigate the prevalence rates of sleep disorders and the correlatives in the elderly from Taiyuan city.Methods All of the 3173 elderly (aged 60 years to 100 years) in Taiyuan city were investigated at home through questionnaires,regarding their sleep condition.Subjects with sleep disorders were then screened through questionnaires and reexamined/diagnosed by special doctors.Results (1) Among the 3173 elderly,2132 subjects complained of having sleep disorders.The total prevalence of sleep disorders was 67.2%.The prevalence rates of chronic insomnia,multi-dreams,habitual snoring and daytime drowsiness were 39.65%,38.58%,26.66% and 34.32% respectively.(2)In the male elderly,the prevalence rates of being awaken early,having more urination at night,daytime drowsiness,sleep-respiratory disturbance and indiscriminate sleep rhythm increased with age(P＜0.01).However,in the female elderly,the prevalence rates of being awaken early,having daytime drowsiness and indiscriminate sleep rhythm also had a tendency of increase (P＜0.01).(3) Living alone,emotional disorder,pain and nocturia (P＜0.01) were the risk factors of chronic insomnia in the male elderly while living alone,numbness/pruritus(P＜0.01),emotional disorder (P＜0.05),were the risk factors of chronic insomnia in the female elderly.Conclusion The prevalence rates of some sleep disturbances in the elderly in Taiyuan city were generally correspondent with prevalence rates reported elsewhere that called for more attention be paid to the effect of mood disturbance and diseases related to sleep condition among the eldexly.
