上海市区30岁以上居民鼾症流行病学初步调查

A Pilot Epidemiological Survey of Snoring Among Residents over 30 yrs in Urban Area of Shanghai

目的:调查上海市区30岁以上居民中鼾症患病情况及部分相关因素,为睡眠呼吸暂停低通气综合征(OSAHS)的流行病学调查打下基础。方法:采用整群抽样的方法对上海市卢湾区、徐汇区、杨浦区和浦东新区4区6个街道30岁以上常住居民9600人,进行问卷调查,并对部分相关因素进行分析。结果:收到问卷8081份(应答率为84.3%),有效问卷6826份(有效率为84.5%)。其中打鼾者占57.1%,中重度打鼾者占23.7%。且随着年龄的增加,打鼾者比例逐渐增加,但70岁以后有下降趋势。男性高于女性,尤其中重度者。不同程度打鼾患者的日间嗜睡评分差异有显著性。结论:上海市区30岁以上人群鼾症患病率为57.1%,同样是影响公众健康的重要问题之一,应当引起足够重视。

Objective:To investigate the incidence of snoring among residents over30yrs in urban area of Shanghai and pro-vide basic data for epidemiological survey of Sleep Apnea-hypopnea Syndrome(OSAHS).Methods:Nine thousand and six hundred person(≥30yrs)were investigated through questionnaires among6streets of4districts in urban area of Shanghai by a method of cluster sampling.The related factors were analyzed.Results:Eighty thousand and eighty-one questior-naires(response rate84.3%)were received,among which6826questionnaires(84.47%)were effective for evaluation.The incidence of snoring was57.1%,among which moderate to severe snoring was23.7%.As age increasing,the proportion of snoring was also increasing until70years old.The incidence was higher in male than in female,especially the moderate to severe ones.Epworth Somnolence Score(ESS)was significant different among snorers with various degree.Conclusions:The incidence of snoring among adults over30yrs old is57.1%in urban area of Shanghai and it shows that snoring is al-so a problem of public health to be paid attention.