鼾症及其相关危险因素流行病调查

目的：探讨不同性别鼾症的发病率及其相关危险因素,为该病的防治提供依据。方法：采用整群抽样的方法对克拉玛依市区天山社区35岁以上常住居民进行入户鼾症问卷调查,调查包括同屋居住者,问卷采用柏林国际睡眠问卷结合Epworth嗜睡量表评分（ESS评分）而成。结果：实际调查人数为2590人,其中有效问卷2493份（有效率为96.7%）,男性1054人,打鼾者645名（61.2%）,女性1439人,打鼾者649（45.1%）,打鼾随年龄、体重指数（BMl）、颈围、ESS评分的增加而增加。绝经期妇女鼾症发病率高于未绝经期妇女（54.2%VS26.2%）,男性吸烟、饮酒与打鼾程度及发病率相关（P〈0.01）。结论：克拉玛依市区天山社区35岁以上人群男性鼾症发病率高于女性,BMI、ESS评分、男性吸烟、饮酒、女性绝经是鼾症的主要危险因素。

Epidemlologic Study and Analysis of Related Factors of Snoring

objectives To study the incidence and risk factors of snoring in different gender and provide the basis for the prevention and treatment of the disease.Methods：2590 subjects（aged≥ 35yr） were derived from a random sample of the population living in 5 streets,two districts in Kelamayi city.All Subjects were asked at home to answer questions about their snoring by himself or bed partner.They were asked to answer the questions from a question concerning snoring,daytime sleepiness（Epworth sleep scale）,and habits such as smoking and drinking,etc.Result：2590 subjects（over 95%） had answered the questions,among them 2493（96.7%） were available for evaluation.include 1054 subjects of males and 1439 subjects of females,the prevalence of snoring was 61.2% in males and 45.1% in females.the prevalence of snoring increased with age,the body mass,neck girth and Epworth score,the prevalence of snoring was significant different between Postmenopausal and Premenopausal（54.2% VS 26.2%）,smoking and drinking were associated with the severity of snoring.（P0.01）.Conclusions：The prevalence of snoring in adults over 35 years old in kelamayi city was higher in males（61.2%）than in females（45.1%）,obesity,Epworth sleep scale,smoking,drinking and the female menopause is main risk factors of snoring.