世界睡眠医学杂志
世界睡眠醫學雜誌
세계수면의학잡지
2014年
4期
201-204
,共4页
胡明侠%朱爱华%王预建%徐状%慈书平
鬍明俠%硃愛華%王預建%徐狀%慈書平
호명협%주애화%왕예건%서상%자서평
老年人%睡眠呼吸暂停低通气综合征%阻塞性%高脂血症%流行病学%随访
老年人%睡眠呼吸暫停低通氣綜閤徵%阻塞性%高脂血癥%流行病學%隨訪
노년인%수면호흡잠정저통기종합정%조새성%고지혈증%류행병학%수방
Elderly people%Sleep apnea hypopnea syndrome%Obstructive%Hyperlipoidemia%Epidemiological survey%Follow -up
目的:随访老年人阻塞性睡眠呼吸暂停低通气综合征(OSAHS)与高脂血症的关系。方法对1868例离退休军人、老干部进行前瞻性随访,通过家访式调查,随访期间每年接受体检情况,检查血压、血脂、血糖、心电图及 X 线胸片等,随访时间为20年。结果1868例中,随访起点男性956例、女性912例,随访终点年龄73~102岁,平均年龄(79.1±5.4)岁。其中确诊 OSAHS 者32.0%(598/1868例),男性496(82.9%)例、女性102(17.1%)例;未患 OSAHS 者(对照组)1270例(68.0%)。随访终点 OSAHS 组高脂血症529(88.5%)例、对照组396例(31.2%),两组比较 P <0.01。结论OSAHS 患者发生高脂血症可能性高于一般人群,提示 OSAHS 可能是高脂血症的独立危险因素。
目的:隨訪老年人阻塞性睡眠呼吸暫停低通氣綜閤徵(OSAHS)與高脂血癥的關繫。方法對1868例離退休軍人、老榦部進行前瞻性隨訪,通過傢訪式調查,隨訪期間每年接受體檢情況,檢查血壓、血脂、血糖、心電圖及 X 線胸片等,隨訪時間為20年。結果1868例中,隨訪起點男性956例、女性912例,隨訪終點年齡73~102歲,平均年齡(79.1±5.4)歲。其中確診 OSAHS 者32.0%(598/1868例),男性496(82.9%)例、女性102(17.1%)例;未患 OSAHS 者(對照組)1270例(68.0%)。隨訪終點 OSAHS 組高脂血癥529(88.5%)例、對照組396例(31.2%),兩組比較 P <0.01。結論OSAHS 患者髮生高脂血癥可能性高于一般人群,提示 OSAHS 可能是高脂血癥的獨立危險因素。
목적:수방노년인조새성수면호흡잠정저통기종합정(OSAHS)여고지혈증적관계。방법대1868례리퇴휴군인、로간부진행전첨성수방,통과가방식조사,수방기간매년접수체검정황,검사혈압、혈지、혈당、심전도급 X 선흉편등,수방시간위20년。결과1868례중,수방기점남성956례、녀성912례,수방종점년령73~102세,평균년령(79.1±5.4)세。기중학진 OSAHS 자32.0%(598/1868례),남성496(82.9%)례、녀성102(17.1%)례;미환 OSAHS 자(대조조)1270례(68.0%)。수방종점 OSAHS 조고지혈증529(88.5%)례、대조조396례(31.2%),량조비교 P <0.01。결론OSAHS 환자발생고지혈증가능성고우일반인군,제시 OSAHS 가능시고지혈증적독립위험인소。
Objective To explore the correlation between senile obstructive sleep apnea hypopnea syndrome(OSAHS) and hyperlipoidemia in the elderly.Methods Prospective home -visit questionnaires were investigated on 1 868 people from November 1989 to November 2009,accompanied by annual medical examinations including blood pressure,blood -fat,serum glucose,electrocardiogram and chest x -ray.Computer tomography was carried out when hyperlipoidemia appeared,which was termination of follow -up,and the period of follow -up lasted 20 years.Results Among 1 868 people,598 /1 868(32.0%)pa-tients were definitely diagnosed of OSAHS contrasting to 1 270 /1 868(68.0%)of non -OSAHS group.Patients who developed into hyperlipoidemia were 529 /598 (88.5%)in the OSAHS group,higher than the 396 /1 270 (31.2%)in the non -OSAHS group (P <0.01).Conclusion According to longtime follow -up,the probability of OSAHS patient suffers from hyperlipoi-demia is larger than the normal.OSAHS may be an independent dangerous factor of hyperlipoidemia.