飞行人员肥胖参数与阻塞性睡眠呼吸暂停低通气综合征相关性研究

目的通过对飞行人员肥胖参数与阻塞性睡眠呼吸暂停低通气综合征（OSAHS）关系的分析，更好地指导OSAHS防治。方法对飞行人员进行问卷调查，测量身高、体重、颈围（NC）及腰围（WC），计算体重指数（BMI）。对打鼾者和（或）Epwortb嗜睡量表（ESS）评分≥9分者，随机进行脉搏容积血氧饱和度初筛检测。临床高度怀疑OSAHS者和氧减饱和指数≥10次／h者，进行整夜多导睡眠图（PSG）监测。根据检查结果分为三组：OSAHS组、单纯鼾症组和正常组。分析BMI、NC、WC与OSAHS的关系。结果1063名飞行人员中，超重399例（37．54％）、肥胖36例（3．39％）；NC增粗130例（12．23％）、WC增大354例（33．30％）。各组中肥胖参数异常发生率和BMI、NC、WC的平均水平，均为OSAHS组〉单纯鼾症组〉正常组，三组间比较差异具有显著性意义（P〈0．05）。logistic多元回归分析显示，超重、肥胖和腰围增大与打鼾显著相关（P〈0．05），而打鼾者中颈围增粗与OSAHS显著相关（P〈0．05）。结论肥胖参数BMI、NC、WC增加是飞行人员患OSAHS的危险因素，应针对危险因素采取有效防治措施。

Obesity parameters and obstructive sleep apnea-hypopnea syndrome in aircrew

Objective To investigate the relationship between obesity parameters and obstructive sleep apnea-hypopnea syndrome （OSAHS） in aircrew. Methods A questionnaire survey in aircrew members was performed. Outcome measurement included body height, body weight, neck circumference （NC） , waist circumference （WC）, and body mass index （BMI）. Those with snoring during sleep and/or Epworth sleepiness scale （ESS）score ≥ 9 were screened with pulse oxygen saturation test during overnight sleep. Those with oxygen saturation decrease index ≥ 10 times/h and suspected OSAHS were tested by polysomnography （PSG）. The objects were then assigned to three groups： the OSAHS group,the snore group and the normal group. The relationship between obesity parameters and OSAHS was analyzed. Results There were 399 （ 37.54% ） overweight, 36 （ 3.39% ） obesity, 130 （ 12. 23% ） increased NC, and 354 （33.30%）increased WC in 1063 aircrew members （OSAHS group 〉 snore group 〉 normal group; P〈 0. 05）. The mean value of BMI, NC and WC in the three groups were dittos. Multiple logistic regression analysis showed that overweight, obesity and increased WC were significantly associated with snoring（P 〈 0.05） and snoring enlarged NC was significantly correlated with OSAHS （P〈 0. 05 ）. Conclusion Increased BMI,NC and WC may be risk factors of OSAHS among aircrew. Effective prevention and treatment of OSAHS should be needed.