温州地区健康体检人群中阻塞性睡眠呼吸暂停低通气综合征的流行现状

The prevalence of obstructive sleep apnea-hypopnea syndrome in healthy adults in Wenzhou City

目的了解温州地区健康体检人群中阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的患病率。方法对2005年1-6月来温州医学院第二附属医院体检中心进行健康体检的15046人进行问卷调查。对其中夜间打鼾的人群结合临床表现、嗜睡情况由医务人员再进行评估,筛选出其中737例行睡眠监测检查。结果实际完成调查人数13625人,有效应答率90.56%。确诊为OSAHS患者446人,患病率为3.27%。男性高于女性;40-59岁是患病的高峰年龄;心血管疾病、肥胖等基础疾病与OSAHS关系密切。结论OSAHS在温州地区健康体检人群中的患病率为3.27%,是严重危害公众健康的疾病之一,应予以足够的重视。

Objective To study the prevalence of snoring and obstructive sleep apnea-hypopnea syndrome （OSAHS） in healthy adults aged over 20 years in Wenzhou City. Methods From January to June of 2005, 15 046 subjects were selected by medical examination at the Second Affiliated Hospital ＆ Yuying Children＇ s Hospital of Wenzhou Medical College. They were required to answer questions in a questionnaire. According to the severity of snoring, 737 subjects were selected to undergo poly- somnography for a whole night. Results A total of 13 625 （90. 56% ） valid questionnaires were collected. Four hundred and forty-six people reported OSAHS with a prevalence of 3.27%. The prevalence was higher in males than in females, and it was higher in the age group 40 - 59 than in other age groups. The morbidity of OSAHS was associated with cardiovascular diseases and adipositas. Conclusion The prevalence of OSAHS in healthy adults in Wenzhou is 3.27%. More attention should be paid to this disease because of its severity.