云南省哈尼族和汉族OSAHS流行病学调查研究

目的 调查云南哈尼族和汉族人群的阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apnea-hypopnea syndrome,OSAHS）患病率及患病规律,探索OSAHS的患病危险因素.方法 根据病例对照研究,采用整群抽样方法抽取云南哈尼族1 135人、汉族1 566人进行面对面式现场问卷调查,筛选OSAHS疑似患者;对OSAHS疑似患者进行多导睡眠监测仪（PSG）监测确诊OSAHS患者,计算出哈尼族及汉族OSAHS患病率及危险因素.结果 （1）哈尼族OSAHS患病率为3.70％,汉族OSAHS患病率为3.96％,2个民族患病率比较差异无统计学意义（Z=0.347,P＞0.05）; （2）颈围、腰围、吸烟史（中、重度）、打鼾家族史为OSAHS患病的危险因素（P＜0.05）.结论 哈尼族和汉族OSAHS患病率基本相同;OSAHS是多因素疾病,严重危害公众健康,需予以重视。

Epidemiological Survey of OSAHS between the Han and Hani Nationalities in Yunnan Province

Objective To investigate the prevalence rate of OSAHS between the Hani and Han nationalities 1 Yunnan Province, and explore the risk factors and pathogenesis regularity of OSAHS. Methods According to le rules of the case control study, 1135 Hani people and 1566 Han people were selected by cluster sampling. The uspected patients were screened via questionnaire, and OSAHS patients were confirmed by polysomnography PSG） .The prevalence and risk factors of OSAHS in Hani and Han nationalities were calculated. Rusults The revaIence rate of OSAHS in Hani and Han nationality was 3.70% and 3.96%, respectively. There was no significant ifference in prevalence rate between the two nationalities （Z = 0.347, P 〉 0.5） . The neck circumference, waist ircumference, smoking history （middle and severe） , and family history of snoring were risk factors of OSAHS. ;onclusion The prevalence rate of OSAHS in Hani is basically the same as that in Han nationality. OSAHS is a mltifactorial disease and severely endangers the public health, so more attention should be paid to it.