合肥市错畸形儿童中习惯性打鼾现状调查

Investigation and analysis on habitual snoring among pediatric with malocclusion in the City of Hefei

目的探讨合肥市3～16岁错殆畸形儿童习惯性打鼾情况，以期为儿童睡眠呼吸障碍防治提供新的途径。方法2011年1月～2012年9月，合肥市4个行政区内随机整群抽取2800名3—16岁错牙合畸形少年儿童为调查对象，以问卷形式进行儿童睡眠、呼吸和日常行为等资料评估，运用SPSS17．0进行统计分析。结果发放问卷2800份，有效应答2642份，回收率为94．36％。其中男性1278名，女性1364名，平均年龄（11．0±2．5）岁，男女习惯性打鼾差异具统计学意义（Z=2．84，P=0．005）。Logistic回归结果认为错牙合畸形儿童习惯性打鼾危险因素与睡眠状况、变应性鼻炎、腺样体大小、口呼吸以及父母打鼾相关。结论合肥市3～16岁错牙合畸形儿童习惯性打鼾检出率为3．2％，提醒家长对该类儿童睡眠障碍各相关因素关注，做到早期发现、早期干预，确保其健康成长。

Objective To study the probability and origin of habitual snoring in pediatric with congenital maloc- clusion in Hefei area, so as to provide new strategies for prevention and treatment of sleep-disordered breathing of children. Methods Between January of 2011 and September of 2012, 2 800 children （3-16 years old） with congenital malocclusion were randomly selected in 4 districts of Hefei and investigated by questionnaire. The topics of questionnaires cover the chil- dren＇ s sleeping breathing, and daily behavior. The data was analyzed using SPSS 17.0. Results Of 2 800 questionnaires sent; 2 642 （94. 36% ） effective questionnaires were returned. The children were composed of 1 278 boys and 1 364 girls. The average age was （ 11.0 ± 2. 5 ）. The difference in habitual snoring between boys and girls was statistically significant （ P 〈 0. 001 ）. The logistic regression analysis showed that Children＇ s chronic snoring symptom and its potential impact was related to sleeping condition, anaphylactic rhinitis, adenoid, buccal respiration, and snoring symptom of their parents. Conclusions The rate of snoring symptom among children with Congenital Malocclusion in Hefei area is 3.2%. This symptom is largely impacted by buccal respiration, adenoids, hereditary factors, but not related to adiposis.