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高原世居藏族日间嗜睡的相关因素分析 被引量:1

The Analysis on Related Factors of Daytime Sleepiness Among Native Tibetans in High Altitude
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摘要 目的:了解高原世居藏族日间嗜睡的现状及其相关因素。方法:采用Epworth嗜睡量表对2018年5月—2018年12月期间的社区体检人员进行评估,同时检测血压、血浆同型半胱氨酸、身高和体重。结果:高原世居藏族日间嗜睡者占50.3%,其中嗜睡、过度嗜睡和危险性嗜睡分别占28.0%、10.1%和12.2%;嗜睡组和正常组相比较,年龄和体育锻炼具有显著性差异(P<0.05),血压、血浆同型半胱氨酸和体质指数没有差异。Logistic回归分析显示年龄和体育锻炼与日间嗜睡相关;多元Logistic回归分析显示夜间疼痛与过度嗜睡相关(P<0.05)。结论:高原低氧环境中,世居藏族日间嗜睡人数较多,且年龄较大,增加体育锻炼和减轻夜间疼痛有利于减少日间嗜睡。 Objective To understand the status and related factors of daytime sleepiness among native Tibetans in high altitude.Methods The Epworth sleepiness scale was used to evaluate community medical examiners from May 2018 to December 2018,and the blood pressure,plasma homocysteine,height and weight were measured at the same time.Results The daytime sleepiness among native Tibetans accounted for 50.3%,of which daytime sleepiness,excessive daytime sleepiness and dangerous daytime sleepiness accounted for 28.0%,10.1%and 12.2%,respectively.Compared with the normal group,the sleepiness group had significant differences in age and physical exercise(P<0.05),but there was no difference in blood pressure,plasma homocysteine and body mass index.Logistic regression analysis showed that age and physical exercise were associated with daytime sleepiness;multiple logistic regression analysis showed that pain at night was associated with excessive daytime sleepiness(P<0.05).Conclusion In the high-altitude low-oxygen environment,the number of daytime sleepiness of native Tibetans are more and older.Increasing physical exercise and relieving night pain are beneficial to reduce daytime sleepiness.
作者 管洪银 德吉 高飞飞 陈燕 GUAN Hongyin;Deji;GAO Feifei;CHEN Yan(School of Medicine,Tibet University,Lhasa 850000,China;Fukang Hospital,Lhasa 850000,China)
出处 《高原科学研究》 CSCD 2020年第4期62-68,共7页 Plateau Science Research
基金 西藏自治区科技厅重点研发和转化计划(XZ-201801-GB-05) 西藏大学医学院配套二级经费“高水平人才培养计划”(2019YXYYJS001).
关键词 高原 世居藏族 日间嗜睡 EPWORTH嗜睡量表 high altitude native Tibetan daytime sleepiness Epworth sleepiness scale
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