阻塞性睡眠呼吸暂停低通气综合征危险因素探讨

Study of the Risk Factors in Obstructive Sleep Apnea-Hypopnea Syndrome

目的：探讨阻塞性睡眠呼吸暂停低通气综合征（Obstructive Sleep Apnea-Hypopnea Syndrome，OSAHS）的危险因素。方法：192例就诊于睡眠实验室的患者进行标准化问卷填调查，测量颈围、腰围、臀围、身高和体重及整夜多导睡眠监测，分析性别、年龄和肥胖因素与OSAHS严重程度的关系。结果：OSAHS患者在症状、病情及人体测量学指标方面存在性别差异；发病年龄主要分布在31～60岁；OSAHS患者的体重指数（BodyMassIndex，BMI）、颈围、腰臀比与AHI、氧减指数、最低血氧饱和度相关。结论：0sAHs的发生及严重程度与性别、年龄和肥胖等危险因素密切相关。

Objective：To study the risk factors in obstructive sleep apnea hypopnea syndrome（OSAHS）. Methods： Related parameters for 192 cases of patients with snoring were analysised,including the sleep disorders qestionnaire, neck circumference,hight,weight and polysomnography（PSG）. The relationship between the severity of OSAHS and gender, age and obesity was studied. Results There was significant difference between the male and female patients with OSAHS in symptoms, severity of the disease and the sleep disorder parameters. The age of patients with OSAHS was mainly in 31 to 60 years old. The body mass index （BIM）,neck circumference,waist/hip rate was highly related to apnea/hypop- nea index（AHI）, oxygen desaturation index, the lowest arterial oxygen saturation. Conclusion： Gender, age and obesity were the risk factor for OSAHS.