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目的:探讨老年人打鼾与颈动脉斑块的关系。方法:对纳入本研究的67例打鼾者和61例健康查体者进行统一鼾症调查问卷及颈动脉超声检查,并对颈动脉斑块的相关危险因素进行多因素Logistic回归分析。结果:不打鼾者61例,轻度打鼾者18例,中度打鼾者24例,重度打鼾者25例,4组患者颈动脉斑块的检出率分别为19.7%、44.4%、62.5%和84.0%,组间差异有统计学意义(P<0.05)。影响颈动脉斑块的Logistic回归结果,校正其他因素后显示中、重度打鼾为颈动脉斑块的危险因素,其OR(95%CI)值依次为4.378(1.181-16.225)、19.572(3.316-115.528)。结论:老年人中、重度打鼾与颈动脉斑块的患病率增加有关,是颈动脉斑块的危险因素。
Objective: To investigate the relationship between snoring and carotid plaque in the elderly. Methods: A total of 67 snorers and 61 healthy subjects were enrolled into the questionnaire of common snoring and carotid ultrasonography, and multivariate Logistic regression analysis was performed on the related risk factors of carotid plaque. Results: There were 61 non-snorers, 18 mild snorers, 24 moderate snorers and 25 severe snorers. The detection rates of carotid plaques in the 4 groups were 19.7%, 44.4% and 62.5%, respectively 84.0%, the difference between the groups was statistically significant (P <0.05). Logistic regression analysis of carotid artery plaque affected other carotid artery plaques showed that moderate and severe snoring were risk factors of carotid artery plaque. The OR (95% CI) values were 4.378 (1.181-16.225), 19.572 (3.316-115.528 ). Conclusion: Among the elderly, severe snoring is associated with an increased prevalence of carotid plaques and is a risk factor for carotid plaque.