海拔1400m某部官兵睡眠呼吸暂停低通气综合征患病率调查

Prevalence of Sleep Apnea-hypopnea Syndrome among Servicemen Living at an Altitude of 1400 Meters

目的调查某部官兵睡眠呼吸暂停低通气综合征(SAHS)的患病率,为进一步了解移居不同海拔高度不同时间人群的患病情况提供参照,并为制定该病的防治策略提供依据。方法采用整群抽样的方法对驻守海拔1 400 m的某部官兵进行睡眠问卷调查,根据打鼾程度及日间嗜睡评分保守估计人群SAHS患病率。结果在调查的348人中打鼾的发生率为39.08%,中度打鼾者占5.17%,无重度鼾症患者。吸烟和饮酒与打鼾程度相关。有高原接触史的被调查者打鼾发生率高于未曾上过高原者(χ2=7.122,P=0.028)。不同程度的打鼾患者,日间的嗜睡评分有显著性差异(F=3.689,P=0.013)。结论如果仅依据日间Epworth嗜睡量表(ESS)评分≥9分为标准,保守估计驻守海拔1 400 m某部官兵的SAHS患病率为4.02%,打鼾及SAHS是严重危害健康的疾病之一,但未引起人们的重视,需要搞好宣传教育工作。

Objective To investigate the prevalence of sleep apnea-hypopnea syndrome （SAHS） in the servicemen living at an altitude of 1 400 meters in order to provide data for estimating the disease and make strategies for treating and preventing it. Methods A total of 348 subjects were derived from the population living at an altitude of 1 400 meters at random. They were asked to answer the questions from a questionnaire concerning snoring, daytime sleepiness, duration of high altitude exposure and habits such as smoking and drinking, etc. The prevalence of SAHS was estimated from the result. Results The prevalence of snoring was 39.08% , among which moderate snoring accounted for 5.17% , and there was no severe snoring. The history of high altitude exposure was associated with the severity of snoring, particularly with mild and moderate snoring. Smoking and drinking groups were associated with a higher prevalence of snoring. Conclusion According to ESS whose score was over 9, the conservatively estimated prevalence of SAHS at an altitude of 1 400 meters was 4.02%. This can be a great burden to public health and implies that the disease needs to be studied further.