司机中阻塞性睡眠呼吸暂停低通气综合征的患病率调查

目的 调查承德市司机OSAHS患病率. 方法 使用随机数字表法对2003年7-8月承德市进行车辆年检的汽车司机进行抽样问卷调查,对部分2级及2级以上打鼾者进行夜间多导睡眠监测仪监测.采用x2检验进行组间比较. 结果 在被调查的718名司机中,从不打鼾者占总数68.3%(490/718),有不同程度打鼾者占31.7%(228/718),其中≥2级打鼾者患病率为16.6%(119/718).随年龄增加,打鼾者的比例呈逐渐上升趋势.男性打鼾者占33.6%(217/646)高于女性15.3%(11/72).吸烟、饮酒、肥胖均增加打鼾患病率.在对鼾症的认知方面,其中43.2%(310/718)司机认为打鼾不是病;16.7%(120/718)认为打鼾是病但不需要治疗;40.1%(228/718)认为打鼾是病且需要治疗;仅1例进行治疗.按呼吸暂停低通气指数(AHI)35次/h为标准,司机OSAHS的息病率为12.3%(28/228).若结合日间Epworth嗜睡量表(ESS)评分≥9分为标准,司机中OSAHS的患病率为4.1%(9/228). 结论 司机鼾症的患病率为31.7%,OSAHS的患病率为4.1%.

A study of the prevalence of obstructive sleep apnea hypopnea syndrome in drivers

Objective To study the prevalence of snoring and obstructive sleep apnea hypopnea syndrome(OSAHS)in drivers in Chengde city.Methods The prevalence of snoring and OSAHS in drivers was investigated by a questionnaire,and some of the drivers with more severe snoring were also evaluated by polysomnographic study.Results Among the 718 investigated drivers.never snoring Wag reported in 68.3%(490/718),mild snoring in 31.7%(228/718),and moderate and severe snoring in 16.6%(119/718).The prevalence of snoring increased with age.The prevalence of snoring Wag higher in males(33.6%)than in females(15.3%).When their knowledge of snoring wag evaluated,43.2%(310/718)thought snoring was not a disese,16.7%(120/718)considered snoring as a disease but needed no treatment,40.1%(228/718)considered it as a disease and needed treatment but only 1 had ever received treatment.If AHI ≥5/h Wag used as the diagnostie criteria.the prevalence of OSAHS in the drivers wag 12.3%(28/228):and if Epworth Sleepiness Scoring(ESS≥9)wag combined,the prevalence of OSAHS was 4.1%(9/228).Conclusion The prevalence of snoring in drivers wag 31.7%.and the prevalence of OSAHS was 4.1%.Drivers need to be informed of the potential harm of OSAHS on their work.