中老年鼾症与高血压的相关性研究

The relative study on snoring and hypertension in the elderly

目的探讨中老年鼾症与高血压的关系。方法选取年龄≥40岁的非脑卒中和心肌梗死患者375例，对其进行有关鼾症的问卷调查，并对高血压的相关危险因素进行非条件Logistic回归分析。结果在375例患者中，不打鼾169例、偶尔打鼾86例、经常打鼾120例，三者高血压患病率分别为33．7％（57／169）、39．5％（34／86）、49．2％（59／120），三者比较差异有统计学意义（P〈0．05）。影响高血压的非条件Logistic回归分析结果：校正其他因素后，经常打鼾为中老年人发生高血压的危险因素，其OR值为2．124（95％CI1．189～3．796）；按性别分层后，经常打鼾仍为女性发生高血压的危险因素，其OR值为3．993（95％CI1．259～12．663），而不是男性发生高血压的危险因素。结论经常打鼾与高血压的患病率增加有关，是高血压的危险因素。

Objective To explore the relationship between snoring and hypertension in the elderly. Methods A total of 375 subjects who were ≥40 years without stroke and myocardial infarction accepted questionnaire survey on snoring. Non conditional Logistic regression analysis was used to analyze the factors of hypertension. Results In 375 subjects, non-snore was in 169 subjects, occasionally snore was in 86 subjects and regular snore was in 120 subjects, the prevalence of hypertension in them were 33.7% （57/169）, 39.5% （34/86） and 49.2% （59/120）,respectively,there was significant difference among them. Non conditional Logistic regression analysis showed：after correcting other factors, regular snore was still risk factor of hypertension,the OR value was 2.124 （95% CI 1.189 -3.796）. According to gender stratification,regular snore was still risk factor of hypertension in female,the OR value was 3.993 （95% CI 1.259 - 12.663） ,rather than risk factor in male. Conclusion Regular snore is relevant to the increased prevalence of hypertension, and it is a risk factor of hypertension.