吸烟与打鼾及阻塞性睡眠呼吸暂停低通气综合征关系的调查研究

目的调查吸烟与打鼾及阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的关系。方法于2010年3—5月采用多阶段随机整群抽样方法选择我市10个社区25岁以上常住居民进行入户调查,共调查3 624名,打鼾者1469名,从基线人群中随机选取打鼾2级且经多导睡眠图检查确诊为OSAHS的患者100例,根据其是否吸烟分为吸烟组(56例)和不吸烟组(44例)。采用问卷调查,内容包括人口学信息、吸烟行为、打鼾分级等。OSAHS患者采用美国ALICE3型多导睡眠仪进行整夜睡眠呼吸监测,记录两组患者呼吸暂停低通气指数(AHI)和SaO2。结果打鼾人群吸烟率为40.64%(597/1 406),高于非打鼾人群的33.17%(715/2 155)(P0.05);打鼾随着吸烟量的增加打鼾程度加重,组间比较差异有统计学意义(P0.05);OSAHS患者吸烟组AHI高于不吸烟组,平均SaO2低于不吸烟组(P0.05)。结论吸烟与打鼾及OSAHS的关系密切,吸烟量越大打鼾程度越严重。

Research on the Relationship between Smoking and Snoring and Obstructive Sleep Apnea Hypopnea Syndrome

Objective To survey the relationship between smoking and snoring and obstructive sleep apnea hypopnea syndrome（ OSAHS）. Methods 3 624 permanent people ≥25 years from March to May in 2010 in Anyang were selected by multi stage randomized cluster sampling method,the survey involved demographic information,smoking behavior,snoring classification. 1 469 people were snoring. 100 patients with OSAHS were divided into smoking group（ 56 cases） and non- smoking group（ 44 cases）. Both group were detected AHI and SaO 2. Results The smoking rate of snoring people was 40. 64%（ 597 / 1 406）,was higher than that of non- smoking people of 33. 17%（ 715 /2 155）（ P〈0. 05）. With the increase of amount of smoking,the degree of snoring increased（ P〈0. 05）; the AHI in smoking group was higher than that of non- smoking group, SaO 2 was lower（ P〈0. 05）. Conclusion The relationship between smoking and snoring and OSAHS is close,the larger amount of smoking,the more serious degree of snoring.