山东省城市老年人睡眠障碍患病率的现况调查

Prevalence of sleep disorders in the urban elderly in Shandong province: a cross-sectional study

目的 探讨山东省城市老年人睡眠障碍的流行病学特点及其相关因素。方法 采用多级抽样的方法 ,于 1997年 3～ 6月对 2 0 0 3名≥ 6 5岁的山东省城市老年人进行调查。调查工具为睡眠行为与睡眠质量评定量表 (SBQS)、一般项目调查表等。结果 (1)资料完整者 180 5名 (应答率为90 11% ) ,有各种睡眠障碍者为 10 0 6例 ,患病率为 5 5 73% ;其中失眠为 2 8 98% (5 2 3例 )。 (2 )男性的高声打鼾 (196例 ,2 2 84 % )、睡眠呼吸暂停 (18例 ,2 10 % )和日间嗜睡 (13例 ,1 5 2 % )患病率高于女性(分别为 85例 ,8 98% ;9例 ,0 95 % ;2例 ,0 2 1% ) ,而女性的不宁腿综合征 (12 3例 ,12 99% )和夜间肌阵挛 (137例 ,14 4 7% )患病率高于男性 (分别为 86例 ,10 0 2 % ;6 1例 ,7 11% )。 (3)经Logistic回归分析 ,年龄大、文化程度低、丧偶和有躯体疾病的老年人睡眠障碍患病率高。 (3)经Logistic回归分析 ,年龄大、文化程度低、丧偶和有躯体疾病的老年人睡眠障碍患病率高。结论 山东省城市老年人中睡眠障碍比较多见 ;睡眠障碍的发生与性别、年龄、文化程度、婚姻状态和躯体疾病有关。

Objective To investigate the prevalence of sleep disorders and the correlatives in the urban elderly in Shandong Province Methods A cross sectional study was conducted among the elderly aged 65 years or over sampled from 5 cities The Sleep Behavior and Quality Scale (SBQS) and demographic questionnaire were used to evaluate the sleep disorders All the interviewers were trained at the beginning of the study Results Among the 2 003 sampled elderly, 1 805 (male: 858; female: 947) persons completed the study with the response rate of 90 11% The total prevalence of all kinds of sleep disorders was 55 73%(95% CI : 53 3%to 57 9%),in which the prevalence of insomnia was 28 98% The prevalence of snoring, sleep apnea, and hypersomnia was higher in males, while the prevalence of restless legs syndrome and periodic limb movement higher in females Widowhood,older age,low education, physical diseases were the risk factors of sleep disorders Conclusions The prevalence of sleep disorders in the urban elderly in Shandong Province is relatively high, and it might be associated with sex, age, educational background, marriage status, and physical status