中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2015年
42期
3416-3419
,共4页
李玉红%乌仁塔娜%嘎琴%关巍%格日力
李玉紅%烏仁塔娜%嘎琴%關巍%格日力
리옥홍%오인탑나%알금%관외%격일력
藏族%汉族%睡眠%高原%差异
藏族%漢族%睡眠%高原%差異
장족%한족%수면%고원%차이
Zang nationality%Han nationality%Sleep%High altitudes%Differences
目的 比较高原地区世居藏族与久居汉族青年男性睡眠结构及睡眠质量的差异.方法 选择海拔3 780 m地区的14名世居藏族青年男性[年龄(32.0±9.1)岁]为藏族组,出生并生活于此地区的11名久居汉族青年男性[年龄(36.6±7.6)岁]为汉族组,均进行夜间多导睡眠监测,并按照国际标准对两组之间的睡眠结构及睡眠质量进行分析与比较.结果 藏族组睡眠效率和夜间血氧饱和度均显著高于汉族组(93.1％±3.9％比85.7％±4.2％和89.4％±2.0％比84.6％±4.3％,均P ＜0.05),而觉醒指数[(1.9±0.8)比(4.1±1.3)次/h]、微觉醒指数[(23.4±5.8)比(28.7±4.1)次/h]、氧减指数[(11.7±4.8)比(16.3±7.5)次/h]、呼吸暂停低通气指数[(5.8±2.3)比(9.6±4.2)次/h]、夜间平均心率[(66.9±8.3)比(79.9±6.7)次/min]均显著低于汉族组(均P＜0.05);藏族组深睡眠时间比例较高(20.1％±7.2％比8.8％±3.3％),而汉族组非快速眼动(NREM)2期和浅睡眠时间比例较高(31.1％±11.9％比18.4％±6.7％和76.1％±11.7％比70.8％±11.2％,均P＜0.05).结论 高原地区世居藏族与久居汉族比较,有更好的睡眠结构和睡眠质量.
目的 比較高原地區世居藏族與久居漢族青年男性睡眠結構及睡眠質量的差異.方法 選擇海拔3 780 m地區的14名世居藏族青年男性[年齡(32.0±9.1)歲]為藏族組,齣生併生活于此地區的11名久居漢族青年男性[年齡(36.6±7.6)歲]為漢族組,均進行夜間多導睡眠鑑測,併按照國際標準對兩組之間的睡眠結構及睡眠質量進行分析與比較.結果 藏族組睡眠效率和夜間血氧飽和度均顯著高于漢族組(93.1％±3.9％比85.7％±4.2％和89.4％±2.0％比84.6％±4.3％,均P ＜0.05),而覺醒指數[(1.9±0.8)比(4.1±1.3)次/h]、微覺醒指數[(23.4±5.8)比(28.7±4.1)次/h]、氧減指數[(11.7±4.8)比(16.3±7.5)次/h]、呼吸暫停低通氣指數[(5.8±2.3)比(9.6±4.2)次/h]、夜間平均心率[(66.9±8.3)比(79.9±6.7)次/min]均顯著低于漢族組(均P＜0.05);藏族組深睡眠時間比例較高(20.1％±7.2％比8.8％±3.3％),而漢族組非快速眼動(NREM)2期和淺睡眠時間比例較高(31.1％±11.9％比18.4％±6.7％和76.1％±11.7％比70.8％±11.2％,均P＜0.05).結論 高原地區世居藏族與久居漢族比較,有更好的睡眠結構和睡眠質量.
목적 비교고원지구세거장족여구거한족청년남성수면결구급수면질량적차이.방법 선택해발3 780 m지구적14명세거장족청년남성[년령(32.0±9.1)세]위장족조,출생병생활우차지구적11명구거한족청년남성[년령(36.6±7.6)세]위한족조,균진행야간다도수면감측,병안조국제표준대량조지간적수면결구급수면질량진행분석여비교.결과 장족조수면효솔화야간혈양포화도균현저고우한족조(93.1％±3.9％비85.7％±4.2％화89.4％±2.0％비84.6％±4.3％,균P ＜0.05),이각성지수[(1.9±0.8)비(4.1±1.3)차/h]、미각성지수[(23.4±5.8)비(28.7±4.1)차/h]、양감지수[(11.7±4.8)비(16.3±7.5)차/h]、호흡잠정저통기지수[(5.8±2.3)비(9.6±4.2)차/h]、야간평균심솔[(66.9±8.3)비(79.9±6.7)차/min]균현저저우한족조(균P＜0.05);장족조심수면시간비례교고(20.1％±7.2％비8.8％±3.3％),이한족조비쾌속안동(NREM)2기화천수면시간비례교고(31.1％±11.9％비18.4％±6.7％화76.1％±11.7％비70.8％±11.2％,균P＜0.05).결론 고원지구세거장족여구거한족비교,유경호적수면결구화수면질량.
Objective To compare young males' sleep quality and structure between native Tibetans and longtime Han residents.Methods A total of 14 male Tibetans and 11 male Hans at an altitude of 3 780 m were enrolled in this study.Tibetans were native highlanders with a mean age of (32.0 ± 9.1) years.Han subjects were born and living in high altitude with a mean age of (36.6 ± 7.6) years.All subjects were monitored by Polysomnography (PSG),and the differences of sleep structure and quality between the two groups were compared according to the international standard.Results The sleep efficiency (93.1％ ± 3.9％ vs 85.7％ ± 4.2％) and nocturnal oxygen saturation (SpO2) (89.4％ ±-2.0％ vs 84.6％ ± 4.3％) in Tibetans was significantly higher than those in Hans (both P ＜ 0.05).The number of awakening ((1.9 ± 0.8) vs (4.1 ± 1.3)/h) and micro-awakening ((23.4 ± 5.8) vs (28.7 ± 4.1)/h),the oxygen reduction index ((11.7 ± 4.8) vs (16.3 ± 7.5)/h),apnea hypoventilation index (AHI) ((5.8 ± 2.3) vs (9.6 ± 4.2)/h) and average heart rate ((66.9 ± 8.3) vs (79.9 ± 6.7)/min) of Tibetans were significantly lower than Hans (all P ＜0.05).Tibetans had longer slow wave sleep (20.1％ ±7.2％ vs 8.8％ ±3.3％) and the Hans had longer stage 2 of non-rapid eye movement (NREM) (31.1％ ± 11.9％ vs 18.4％ ± 6.7％) and shallow sleep (76.1 ± 11.7 vs 70.8 ± 11.2) (all P ＜ 0.05).Conclusion Tibetans have better sleep quality and higher sleep efficiency than Han residents at high altitude.
