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。
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 （69.7296 ） 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.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2007年第9期841-843,共3页
Chinese Journal of Epidemiology
