【摘要】 目的了解吸烟对睡眠呼吸暂停低通气综合征(SAHS)患病率的影响。方法按照髓机整群抽样法,对承德市双桥区部分30岁以上居民进行入户调查,共调查1168人,对部分2级及2级以上打鼾者进行整夜睡眠呼吸监测。结果吸烟组打鼾率(69.09%)显著高于非吸烟组(45.07%,P=0.000)。男性吸烟组打鼾率(69.72%)显著高于非吸烟组(60.80%,P=0.033);女性吸烟组打鼾率(61.80%)显著高于非吸烟组(39.70%,P=0.011)。男性非吸烟组打鼾率(60.80%)明显高于女性非吸烟组(39.70%,P:0.000)。男、女性吸烟组打鼾率差异无统计学意义(P=0.927)。logistic多元回归分析显示,吸烟指数为影响打鼾的独立危险因素(P=0.003)。在对127名≥2级打鼾人群进行便携式多导睡眠初筛仪监测后,以AHI≥5,ESS评分≥3、6、9为标准判断有无SAHS,SAHS患病率吸烟组显著高于非吸烟组(P<0.001)。结论吸烟与打鼾和SAHS的关系密切;吸烟可以使不同性别人群打鼾和SAHS患病率升高。更多还原

【Abstract】 Objective To investigate how smoking was affecting the prevalence of sleep apnea/ hypopnea syndrome(SAHS)among adults aged over 30 years in Chengde city of Hebei province.Methods 1168 subjects,over 30 years of age were derived from a random sample from a community-based population in Shuangqiao district of Chengde city.All subjects responded to a questionnaire at their own houses regarding their habits of snoring and smoking.1168 subjects(95.2%)answered the questions satisfactorily.Results(1)Among the smoking groups,the prevalence of snoring was 69.09 %,higher than that in the nonsmoking groups 45.07 %(P = 0.000).(2)In males,the smoking group had a higher prevalence(69.72 %)of snoring than in the nonsmoking group(60.80 %,P = 0.033).(3)Females in the smoking group had a higher prevalence of snoring(61.80 %)than in the nonsmoking group(39.70 %,P = 0.011).(4)The prevalence of snoring in males(60.80 %)was significantly higher than that in females (39.70 %,P = 0.000).(5)The prevalence(69.72 %)of snoring in smoking males was similar to that in smoking females(61.80 %,P = 0.336).(6)Data from logistic regression analysis indicated that smoking was one of the factors affecting snoring.(7)According to the degree of snoring,127 moderate and severe snorers were measured by portable PSG for a whole night and the prevalence of SAHS was estimated. According to the AHI≥5 and the ESS≥9 cutoff-points,the prevalence rates of SAHS in smoking groups were both significantly higher than that in nonsmoking groups(P<0.001).Conclusion Smoking and snoring among adults aged over 30 years had correlation in our city.更多还原