【摘要】 目的调查克拉玛依市区35岁以上人群鼾症的发生率及其相关危险因素。方法采用整群抽样的方法对克拉玛依市区两个社区5个新村35岁以上常住居民进行入户睡眠问卷调查。问卷内容包括打鼾情况、Epworth嗜睡量表评分(ESS评分),吸烟、饮酒等个人史,测量身高、体重、颈围、腹围、腰围及臀围。根据问卷内容评分将调查对象分为鼾症高危组和低危组。结果实际有效问卷2513份,打鼾者1312例(52.2%),其中中重度打鼾者占38.9%。鼾症发生率在60岁以前随年龄的增加而增加,男性高于女性(61.7%比45.1%),随颈围的增粗而增加(P<0.05)。鼾症高危组与低危组间在体质量指数(BMI)[(28.2±3.6)kg/m2比(25.1±3.9)kg/m2]、ESS评分(4.4±3.8比3.4±3.2)、颈围[(37.7±3.6)cm比(35.6±3.6)cm]、腹围[(96.9±13.6)cm比(88.7±11.1)cm]、腰围[(92.2±9.8)cm比(84.7±10.2)cm]、臀围[(102.9±9.6)cm比(96.4±9.3)cm]、腰臀围比(0.90±0.07比0.88±0.08)、收缩压[(132.0±17.5)mmHg比(125.6±16.8)mmHg]及舒张压[(83.3±12.8)mmHg比(78.3±12.6)mmHg]等方面差异有统计学意义(P均<0.01)。多因素Logistic回归分析显示,年龄(OR=1.519)、BMI(OR=2.549)、颈围(OR=2.473)、吸烟(OR=2.765)、ESS评分(OR=2.575)及女性绝经(OR=1.806)是打鼾的主要危险因素(P<0.05)。结论克拉玛依市区35岁以上人群打鼾发生率高,年龄、BMI、颈围、吸烟、ESS评分及女性绝经是打鼾的主要危险因素。更多还原

【Abstract】 Objective To study the prevalence of snoring in adults aged over 35 yrs in Kelamayi city of Xinjiang province,and screen the snoring associated factors.Methods 2600 subjects(age≥35 yrs) were enrolled from a random sample of the population living in 5 streets,two districts in Kelamayi city.All subjects were required to answer questions about their snoring by himself or bed partner at home.The questionnaire included items concerning snoring,daytime sleepness (Epworth sleep scale,ESS),smoking and drinking habits,while height,weight,neck circumference,abdominal circumference,waistline,and hip circumference were meatured.The subjects were assigned to a high risk group and a low risk group according to the questionaire of scoring.Results 2590 subjects had completed the questionnaire and 2513 (97.0%) were eligble for evaluation.The cases of ever snoring was 1312 (52.2%),among which moderate to severe snoring accounted for 38.9%.Before the age of 60 yrs,the risk of snoring increased with age,and higher in males than females(61.7% vs.45.1%).The prevalence of snoring increased with neck circumference(P<0.05).The body mass index (BMI) [(28.2±3.6)kg/m2 vs.(25.1±3.9)kg/m2],neck circumference [(37.7±3.6)cm vs.(35.6±3.6)cm],abdominal circumference [(96.9±13.6)cm vs.(88.7±11.1)cm],waistline [(92.2±9.8)cm vs.(84.7±10.2)cm],hip circumference [(102.9±9.6)cm vs.(96.4±9.3)cm],proportionlity of waistline to hip circumference (0.90±0.07 vs.0.88±0.08),systolic blood pressure [(132.0±17.5)mm Hg vs.(125.6±16.8)mm Hg],and diastolic blood pressure [(83.3±12.8)mm Hg vs.(78.3±12.6)mm Hg] were significantly different bettween the high and the low risk groups (P<0.01).Logistic regression analysis revealed that age (OR=1.519),BMI (OR=2.549),neck circumference (OR=2.473),smoking (OR=2.765),ESS(OR=2.575),and post-menopause (OR=1.806) were main risk factors for snoring(P<0.05).Conclusions The prevalence of snoring in adults over 35 yrs is high in Kelamayi city.The high risk factors for snoring are age,BMI,neck circumference,smoking,ESS,and post-menopause.更多还原