太原市睡眠呼吸暂停低通气综合征的流行病学调查

目的　了解太原市睡眠呼吸暂停低通气综合征 (SAHS)的患病率 ,为今后的预防诊治工作奠定基础。方法　从 1998年 1月至 2 0 0 1年 12月 ,用整群随机抽样法 ,以太原市两个城区四个居住小区的家庭常住人口为调查对象 ,进行入户问卷调查 ,总人数为 6 0 2 8名 (其中男 376 5名 ,女 2 2 6 3名 )。对所有人进行问卷Ⅰ调查 ,其中打鼾 3级以上的 10 2 4名 ,由医务人员进行再次入户问卷Ⅱ调查 ,对仍可疑 (ESS评分≥ 9)的 4 76名进行多导睡眠监测 ,从而推算出太原市SAHS的患病率。结果　实际完成调查人数为 5 12 8名 (其中男 2 90 1名 ,女 2 2 2 7名 ,问卷应答率为 85 11% ) ,确诊为SAHS患者共 179例 (男性 136例 ,女性 4 3例 ) ,患病率为 3 5 % (男性为 4 7% ,女性为 1 9% ) ,男性患病率显著高于女性 (P <0 0 1) ,其发病高峰年龄为 30～ 5 0岁。结论　此次调查推算出太原市SAHS的患病率为3 5 % ,可见SAHS是影响公众健康的疾病之一 ,应引起医务工作者的重视

Epidemiological studies of sleep apnea-hypopnea syndrome:a questionnaire survey of Taiyuan

OBJECTIVE: To obtain the epidemiological data of sleep apnea-hypopnea sydrome (SAHS) in Taiyuan. METHODS: A questionnaire survey was performed in 6 028 people living in Taiyuan. The prevalence of SAHS was estimated by a two-stage procedure. In the first stage, stratified cluster disproportional random sampling survey was performed in Taiyuan. 6 028 questionnaires were send to random sample of defined population in the 4 sites selected from 2 districts. The response rate was 85.11%. During the second stage 476 of those highly suspected of having SAHS (ESS >/= 9) underwent all-night polysomnographic (PSG) studies. RESULTS: From the study population, 179 were diagnosed as having SAHS. The overall prevalence was 3.5% (male 4.7% and female 1.9%). CONCLUSION: The prevalence of SAHS was 3.5% among Taiyuan.