国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2013年
1期
15-18
,共4页
何忠明%韩芳%宋镇%李鸿霞%宋玉玲%雷清生%李敏
何忠明%韓芳%宋鎮%李鴻霞%宋玉玲%雷清生%李敏
하충명%한방%송진%리홍하%송옥령%뢰청생%리민
睡眠呼吸暂停低通气综合征%2型糖尿病%患病率
睡眠呼吸暫停低通氣綜閤徵%2型糖尿病%患病率
수면호흡잠정저통기종합정%2형당뇨병%환병솔
Sleep apnea-hypopnea syndrome%Type 2 diabetes mellitus%Prevalence
目的 调查克拉玛依市区35岁以上睡眠呼吸暂停低通气综合征(SAHS)患者中2型糖尿病的患病率,探讨睡眠呼吸紊乱与糖尿病的关系.方法 采用流行病调查的方法对克拉玛依市区3个社区1081名35岁以上汉、维吾尔族常住居民进行入户睡眠问卷调查,其中汉族572名,维吾尔族509名,问卷内容包括打鼾情况、测量身高、体质量、颈围、腹围、血压、血糖.对鼾症人群进行睡眠呼吸血氧监测.结果 汉族组与维吾尔族组间在体质量指数[(24.9±3.2) kg/m2比(27.9±4.2) kg/m2]、颈围[(35.3±3.2) cm比(36.9±3.2) cm]、腹围[(87.6±9.7) cm比(96.0±11.3)cm]、氧减饱和度指数[(10.8±0.4)次/h比(7.5±0.4)次/h]、夜间平均氧饱和度[(93.2±2.3)%比(92.7±6.3)%]、呼吸暂停低通气指数[(16.2±15.8)次/h比(11.3±14.1)次/h]、血糖[(6.3±1.7) mmol/L比(7.0±2.8)mmol/L]等方面差异有统计学意义(P值均<0.05).SAHS组与非SAHS组中2型糖尿病患病率比较(34.7%比9.5%)差异有统计学意义(P<0.01).汉族SAHS组糖尿病患病率与维吾尔族SAHS组比较(39.6%比28.5%)差异有统计学意义(P<0.05).结论 克拉玛依市区35岁以上SAHS人群中2型糖尿病的患病率为34.7%,SAHS及2型糖尿病患病率均随腹围增加而增加,SAHS组2型糖尿病患病率高于非SAHS组,睡眠呼吸暂停与糖代谢紊乱有关.
目的 調查剋拉瑪依市區35歲以上睡眠呼吸暫停低通氣綜閤徵(SAHS)患者中2型糖尿病的患病率,探討睡眠呼吸紊亂與糖尿病的關繫.方法 採用流行病調查的方法對剋拉瑪依市區3箇社區1081名35歲以上漢、維吾爾族常住居民進行入戶睡眠問捲調查,其中漢族572名,維吾爾族509名,問捲內容包括打鼾情況、測量身高、體質量、頸圍、腹圍、血壓、血糖.對鼾癥人群進行睡眠呼吸血氧鑑測.結果 漢族組與維吾爾族組間在體質量指數[(24.9±3.2) kg/m2比(27.9±4.2) kg/m2]、頸圍[(35.3±3.2) cm比(36.9±3.2) cm]、腹圍[(87.6±9.7) cm比(96.0±11.3)cm]、氧減飽和度指數[(10.8±0.4)次/h比(7.5±0.4)次/h]、夜間平均氧飽和度[(93.2±2.3)%比(92.7±6.3)%]、呼吸暫停低通氣指數[(16.2±15.8)次/h比(11.3±14.1)次/h]、血糖[(6.3±1.7) mmol/L比(7.0±2.8)mmol/L]等方麵差異有統計學意義(P值均<0.05).SAHS組與非SAHS組中2型糖尿病患病率比較(34.7%比9.5%)差異有統計學意義(P<0.01).漢族SAHS組糖尿病患病率與維吾爾族SAHS組比較(39.6%比28.5%)差異有統計學意義(P<0.05).結論 剋拉瑪依市區35歲以上SAHS人群中2型糖尿病的患病率為34.7%,SAHS及2型糖尿病患病率均隨腹圍增加而增加,SAHS組2型糖尿病患病率高于非SAHS組,睡眠呼吸暫停與糖代謝紊亂有關.
목적 조사극랍마의시구35세이상수면호흡잠정저통기종합정(SAHS)환자중2형당뇨병적환병솔,탐토수면호흡문란여당뇨병적관계.방법 채용류행병조사적방법대극랍마의시구3개사구1081명35세이상한、유오이족상주거민진행입호수면문권조사,기중한족572명,유오이족509명,문권내용포괄타한정황、측량신고、체질량、경위、복위、혈압、혈당.대한증인군진행수면호흡혈양감측.결과 한족조여유오이족조간재체질량지수[(24.9±3.2) kg/m2비(27.9±4.2) kg/m2]、경위[(35.3±3.2) cm비(36.9±3.2) cm]、복위[(87.6±9.7) cm비(96.0±11.3)cm]、양감포화도지수[(10.8±0.4)차/h비(7.5±0.4)차/h]、야간평균양포화도[(93.2±2.3)%비(92.7±6.3)%]、호흡잠정저통기지수[(16.2±15.8)차/h비(11.3±14.1)차/h]、혈당[(6.3±1.7) mmol/L비(7.0±2.8)mmol/L]등방면차이유통계학의의(P치균<0.05).SAHS조여비SAHS조중2형당뇨병환병솔비교(34.7%비9.5%)차이유통계학의의(P<0.01).한족SAHS조당뇨병환병솔여유오이족SAHS조비교(39.6%비28.5%)차이유통계학의의(P<0.05).결론 극랍마의시구35세이상SAHS인군중2형당뇨병적환병솔위34.7%,SAHS급2형당뇨병환병솔균수복위증가이증가,SAHS조2형당뇨병환병솔고우비SAHS조,수면호흡잠정여당대사문란유관.
Objective To study the prevalence of diabetes in SAHS adults aged over 35 years in kelamayi city,and to analyze relationship between sleep apnea and Type 2 diabetes mellitus.Methods 1081 subjects (age≥35) were derived from the population living in three districts in Kelamayi city.All subjects were screened for SAHS using questionnarie,they were asked to answer the questions concerning snoring etc.and meaturing the height,weight,neck circumference,abdominal circumference and blood sugar,include 572 subjects of Han nationality and 509 subjects of Uygur nationality.All subjects have respiration and pulse oximeter testing.Results The body mass index [(24.9 ± 3.2) kg/m2 vs (27.9 ±4.2) kg/m2],neck circumference [(35.3±3.2)cm vs (36.9±3.2) cm],abdominal circumference [(87.6±9.7) cm vs (96.0±11.3) cm],oxygen desaturation over 4% per hour sleep >5 times [(10.8±0.4) times/h vs (7.5±0.4) times/h],the nadir arterial oxygen saturation [(93.2±2.3)% vs (92.7±6.3)%],apnea htpopnen index [(16.2±15.8) times/h vs (11.3± 14.1) times/h] and blood sugar [(6.3±1.7) mmol/L vs (7.0±2.8) mmol/L] were significantly different bettween Han nationality and Uygur nationality groups (P < 0.01),there are significant difference on the prevalence of diabetes between with and without SAHS groups(34.7% vs 9.5%) (P <0.01),and significant difference on the prevalence of diabetes in SAHS between Han nationality and Uygur nationality groups (39.6% vs 28.5 %) (P <<0.05).Conclusions The prevalence of diabetes in SAHS in adults over 35 years old was 44.7% in Kelamayi city,the prevalence of SAHS and Type 2 diabetes mellitus increased with abdominal circumference,the prevalence of Type 2 diabetes in SAHS groups was higher than no SAHS groups,there relationship between sleep apnea and Type 2 diabetes mellitus.