【作者】 李明娴； 王莹； 华树成； 李春梅； 王慕朋； 刘阳； 李忠民； 王春勇； 范金荣； 王晶华； 孔凡玉； 王敏；

【Author】 LI Ming-Xian, WANG Ying, HUA Shu-cheng, LI Chun-Mei, WANG Mu-Peng, LIU Yang, LI Zhong-Min, WANG Chun-yong, FAN Jin-Rong, WANG Jing-Hua, KONG Fan-Yu, WANG Min. Department of Respiratory Medicine, First Hospital of JiLin University, Changchun 130021,China

【机构】 吉林大学第一医院呼吸科；

【摘要】 目的调查长春市20岁以上居民阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的患病状况,为该病的防治提供依据。方法采用分层整群抽样的方法,选择长春市朝阳区和绿园区部分20岁以上常驻居民3960名为调查对象,进行入户调查,从打鼾≥2级者中随机抽样200名,行整夜睡眠呼吸监测,估算人群OSAHS的患病状况。结果有效问卷3648份(有效率97．64％),≥2级打鼾为31．00 ％,男性(40．07％)高于女性(21．76％);不同职业中,司机组最高(42．47％)。以睡眠呼吸暂停低通气指数 (AHI)≥5／h加Epworth嗜睡量表(ESS)评分≥9分、夜间最低血氧饱和度<90％为标准,估算人群 OSAHS的患病率为4．81％。结论长春市20岁以上人群OSAHS的患病率为4．81％,人们对打鼾和OSAHS的发生未引起足够的重视,应加强宣传教育工作。更多还原

【Abstract】 Objective To investigate the prevalence of obstructive sleep apnea-hypopnea syndrome (OSAHS) in adults aged over 20 years in Changchun city, providing epidemiological data for treatment and prevention of the disease. Methods 3960 subjects were derived from a stratified cluster and random sampling of the population in two districts of Changchun city. They were asked to answer the questions from a questionnaire in their houses. According to the degree of snoring, 200 subjects with a snoring score(?)2 degree were selected to undergo polysomnography for a whole night and the prevalence of the disease was estimated. Results A total of 3648 (97.64%) validated questionnaires was collected. Of them 31.00% had a snoring score(?)2 degree, the prevalence was higher in males(40.07%) than in females(21.76%). The prevalence of snoring was higher in drivers (42.47%) than in other occupations. The estimated prevalence of OSAHS defined by apnea-hypopnea index (AHI)(?)5, Epworth sleepiness scale (ESS) (?)9 and arterial oxygen saturation (SaO2) < 90% was 4.81%. Conclusions The estimated prevalence of OSAHS in adults aged over 20 years in Changchun city was 4.81%. Doctors should pay more attention to the disease and the ordinary people should be informed of the health impact of snoring and OSAHS.更多还原