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山东省城市老年人睡眠障碍患病率的现况调查
引用本文:刘连启,刘贤臣,刘兆玺,马登岱,赵贵芳,王庚鑫,杨晓东.山东省城市老年人睡眠障碍患病率的现况调查[J].中华精神科杂志,2002,35(3):180-183.
作者姓名:刘连启  刘贤臣  刘兆玺  马登岱  赵贵芳  王庚鑫  杨晓东
作者单位:250014,济南,山东省精神卫生中心精神科
基金项目:山东省医学科研基金资助项目 (1997CA1DFA4)
摘    要: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2003名≥65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1805名(应答率为90.11%),有各种睡眠障碍者为1006例,患病率为55.73%;其中失眠为28.98%(523例),(2)男性的高声打鼾(196例,22.84%),睡眠呼吸暂停(18例,2.10%)和日间嗜睡(13例,1.52%)患病率高于女性(分别为85例,8.98%,9例,0.95%;2例,0.21%),而女性的不宁腿综合征(123例,12.99%)和夜间肌阵挛(137例,14.47%)患病率高于男性(分别为86例,10.02%;61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。

关 键 词:山东  城市老年人  睡眠障碍  患病率  流行病学
修稿时间:2001年10月16

Prevalence of sleep disorders in the urban elderly in Shandong province: a cross-sectional study
Abstract: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
Keywords:Aged  Sleep disorders  Prevalence  Epidemiology
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