克拉玛依市区35岁以上汉族与维吾尔族人群鼾症流行病调查

目的 调查克拉玛依市区35岁以上汉族与维吾尔族人群打鼾的发病率,并分析其相关危险因素,为该病的防治提供依据.方法 采用整群抽样的方法对克拉玛依市区天山社区和永红社区35岁以上汉族及维吾尔族常住居民进行入户鼾症问卷调查.内容包括打鼾情况、白天嗜睡程度[爱波沃斯评分(ESS评分)],测量血压、身高、体质量、颈围、腹围、腰围及臀围.结果 2600人参加了鼾症问卷调查,实际调查人数为2 533人(应答率在95%以上).有效问卷2 357份(有效率为97.4%),其中汉族1021人,维吾尔族1 336人,打鼾者1 298人(51.2%),汉族打鼾发病率为61.9%,维族打鼾发病率为45.4%.汉族与维族鼾症高危组冠状动脉粥样硬化性心脏病及高血压发病率明显高于低危组(P值均<0.01).结论 克拉玛依市区35岁以上人群打鼾发病率为52.5%.打鼾随年龄、体质量指数、颈围、ESS评分的增加而增加,肥胖和ESS评分增高是汉族和维族打鼾的主要危险因素.打鼾是高血压、冠状动脉粥样硬化性心脏病的独立危险因素,是影响公众健康的重要问题,应当引起重视.

Epidemiologic study Han nationality and Uygur nationality of Snoring in adults aged over 35 years in kelamayi city

Objective To study the prevalence of snoring among adults aged over 35 years in Kelamayi city of Xinjiang province,and to define the factors association of snoring,to provide data for treatment and prevention of this disorder.Methods All subjects(aged≥35 years)were derived from a random sample of the population living in two districts in Kelamayi city.All subjects were asked at home to answer questions about their snoring by himself or bed partner.They were asked to answer the questions from a question concernmg snoring,daytime sleepness(Epworth sleep scale,ESS),and meaturing the blood pressure,height,weight,abdominal corsets,hipline,waist and neck girths.Results 2 600 subjects(over 95%)had answered the questions,among them 2 533(97.3%)were available for evaluation.Among all subiects,include 1 020Han nationality and 1 333 Uygur nationality,The prevalence of snoring in Han nationality was 61.9%,and in Uygur nationality was 45.4%.The hypertension and the coronary heart disease(CHD)were signficantly different bettween lower and higher risk groups.Conclusions The prevalence of ever snonring in aduhs over 35 years old in Kelamayi was 52.2%,the prevalence of snoring increased with age,the body mass,Epworth score.Obesity and ESS is main risk factors of snoring,snoring is a high risk factors of hypertension and CHD.