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目的:调查克拉玛依市区35岁以上汉、维吾尔族鼾症人群睡眠呼吸暂停低通气综合征(SAHS)的发病率及其相关危险因素,为该病的防治提供依据。方法:采用整群抽样的方法对克拉玛依市区3个社区35岁以上常住居民进行入户鼾症问卷调查,对1121例鼾症人群进行夜间睡眠呼吸监测。其中汉族582例,维族539例。结果:克拉玛依市区35岁以上习惯性鼾症患者中汉族SAHS患病率为26.7%,维吾尔族为15.3%。SAHS患病率随年龄的增加而增加、汉、维吾尔族男女性SAHS患病率均随腹围的增加而增加.维吾尔族SAHS患病率随颈围的增加而增加。体质量指数正常或超重的鼾症患者中SAHS患病率汉族高于维吾尔族(18.0%比5.9%和19.4比8.6%)(P<0.01),维吾尔族肥胖患者中SAHS患病率高于汉族(17.8%比14.6%)(P<0.01)。结论:克拉玛依市区35岁以上鼾症人群SAHS患病率存在民族差异,汉族高于维吾尔族,年龄、腹围、打鼾、民族、性别是睡眠呼吸暂停低通气的主要危险因素。
Objective: To investigate the morbidity and related risk factors of sleep apnea-hypopnea syndrome (SAHS) among Han and Uyghur snoring population aged 35 and over in Karamay urban area and provide basis for the prevention and treatment of the disease. Methods: A cluster sampling method was used to survey the residents who were over 35 years old living in 3 communities in Karamay city. The snoring questionnaire was conducted on 1121 snoring people and nighttime sleep respiration was monitored. Among them, there are 582 Han and 539 Uighurs. Results: The prevalence of SAHS in Han nationality was 26.7% in habitual snoring patients over 35 years old in Karamay city and 15.3% in Uighur people. The prevalence of SAHS increased with age, and the prevalence of SAHS among Han and Uyghur men and women increased with the increase of abdominal circumference. The prevalence of SAHS in Uyghur increased with the increase of neck circumference. The prevalence rate of SAHS among the snoring patients with normal body mass index (BMI) or overweight was higher than that of Uyghur (18.0% vs 5.9% vs 19.4 8.6%) (P <0.01), and the prevalence of SAHS in Uygur obesity patients was higher than that of Han (17.8% vs. 14.6%) (P <0.01). Conclusion: There are ethnic differences in prevalence of SAHS among people over 35 years old in Karamay city. Han people are higher than Uyghur people, age, abdominal circumference, snoring, nationality and gender are the main risk factors of sleep apnea-hypopnea.