CAJ | 학술논문

目的调查昆明市高校教职工白天嗜睡现患率并探讨其相关影响因素．方法使用Epworth嗜睡量表为研究工具，连续8个月收集昆明市5所高校（云南民族大学、云南农业大学、云南师范大学、昆明医科大学、云南财经大学）在岗教职工相关信息．结果高校教职工白天过度嗜睡现患率为12.45%，其中男性现患率为16.82%，女性现患率为7.70%．Logistic回归分析结果显示白天过度嗜睡主要危险因素为男性（OR＝1.898）、年龄（30岁以下为参照组31～40岁，41～50岁，51岁及以上OR分别为1.480，2.366，2.719）、家族打鼾史（OR＝3.371）、使用镇静安眠类药物（OR＝1.815）、记忆力减退（OR＝2.044）、头晕乏力（OR=2.076）、睡觉时憋醒（OR＝2.143）、被发现呼吸暂停（OR＝2.684）等．结论白天过度嗜睡在以高校教职工为研究样本的昆明市居民中现患率较高，而影响因素提示白天过度嗜睡在很大程度上可能是由于睡眠呼吸暂停综合征，故建议进一步做睡眠监测．
목적조사곤명시고교교직공백천기수현환솔병탐토기상관영향인소．방법사용Epworth기수량표위연구공구，련속8개월수집곤명시5소고교（운남민족대학、운남농업대학、운남사범대학、곤명의과대학、운남재경대학）재강교직공상관신식．결과고교교직공백천과도기수현환솔위12.45%，기중남성현환솔위16.82%，녀성현환솔위7.70%．Logistic회귀분석결과현시백천과도기수주요위험인소위남성（OR＝1.898）、년령（30세이하위삼조조31～40세，41～50세，51세급이상OR분별위1.480，2.366，2.719）、가족타한사（OR＝3.371）、사용진정안면류약물（OR＝1.815）、기억력감퇴（OR＝2.044）、두훈핍력（OR=2.076）、수각시별성（OR＝2.143）、피발현호흡잠정（OR＝2.684）등．결론백천과도기수재이고교교직공위연구양본적곤명시거민중현환솔교고，이영향인소제시백천과도기수재흔대정도상가능시유우수면호흡잠정종합정，고건의진일보주수면감측．
Objective To investigate the prevalence of excessive daytime sleepiness and explore the associated factors in university teachers and staffs in Kunming.Methods Epworth sleepiness scale was used as the tool of diagnosis. We consecutively collected the data of teachers and staffs on duty in Yunnan Nationalities University,Yunnan Agricultural University,Yunnan Normal University,Kunming Medical University and Yunnan University of Finance and Economics within 8 months.Results The prevalence of excessive daytime sleepiness in university teachers and staffs was 12.45%, the prevalence of male was 16.82% and female was 7.70%, respectively. The results of Logistic regression showed that the main associated factors of excessive daytime sleepiness were male (OR=1.898),age (30 years and less was as control group,the ORs of 31-40 year group, 41-50 years group and more than 51 years group were 1.480, 2.366 and 2.719, respectively), family history of snoring (OR=3.371), consumption sedative (OR=1.815), memory failing (OR=2.044), dizzy and feeble (OR=2. 076),choking (OR=2.143),report apnea (OR=2.684),etc. Conclusions The prevalence of excessive daytime sleepiness is high in the university teachers and staffs that can partially represent the residents of Kunming city. The associated factors of excessive daytime sleepiness hint that excessive daytime sleepiness may be caused by sleep apnea/hyperpnoea syndrome in the sample population,hence the people with excessive sleepiness need further sleep monitoring .