| 张庆,杨宗伟,何权瀛,邢志俐,庞桂芬,吴瑞芹,杨林瀛,孙立新,韩芳,王英,赵志伟,范常艳.吸烟在睡眠呼吸暂停低通气综合征患病率流行病学研究中的意义[J].Chinese journal of Epidemiology,2007,28(9):841-843 |
| 吸烟在睡眠呼吸暂停低通气综合征患病率流行病学研究中的意义 |
| Epidemiologic study on the relationship between smoking and sleep apnea/hypopnea syndrome |
| Received:May 24, 2007 Revised:September 10, 2007 |
| DOI： |
| KeyWord: 吸烟 打鼾 睡眠呼吸暂停低通气综合征 |
| English Key Word: Smoking Snoring Sleep apnea/hypopnea syndrome |
| FundProject: |
| Author Name | Affiliation | | ZHANG Qing | 承德医学院附属医院, 067000 | | YANG Zong-wei | 承德医学院附属医院, 067000 | | HE Quan-ying | 承德医学院附属医院, 067000 | | XING Zhi-li | 承德医学院附属医院, 067000 | | PANG Gui-fen | 承德医学院附属医院, 067000 | | WU Rui-qin | 承德医学院附属医院, 067000 | | YANG Lin-ying | 承德医学院附属医院, 067000 | | SUN Li-xin | 承德医学院附属医院, 067000 | | HAN Fang | 承德医学院附属医院, 067000 | | WANG Ying | 承德医学院附属医院, 067000 | | ZHAO Zhi-wei | 北京大学人民医院 | | FAN Chang-yan | |
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| Abstract: |
| 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(P0.001)。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。 |
| English 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(P0.001).Conclusion Smoking and snoring among adults aged over 30 years had correlation in our city. |
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