论文部分内容阅读
目的了解吸烟对睡眠呼吸暂停低通气综合征(SAHS)患病率的影响。方法按照髓机整群抽样法,对承德市双桥区部分30岁以上居民进行入户调查,共调查1168人,对部分2级及2级以上打鼾者进行整夜睡眠呼吸监测。结果吸烟组打鼾率(69.09%)显著高于非吸烟组(45.07%,P=0.000)。男性吸烟组打鼾率(69.72%)显著高于非吸烟组(60.80%,P=0.033);女性吸烟组打鼾率(61.80%)显著高于非吸烟组(39.70%,P=0.011)。男性非吸烟组打鼾率(60.80%)明显高于女性非吸烟组(39.70%,P:0.000)。男、女性吸烟组打鼾率差异无统计学意义(P=0.927)。logistic多元回归分析显示,吸烟指数为影响打鼾的独立危险因素(P=0.003)。在对127名≥2级打鼾人群进行便携式多导睡眠初筛仪监测后,以AHI≥5,ESS评分≥3、6、9为标准判断有无SAHS,SAHS患病率吸烟组显著高于非吸烟组(P<0.001)。结论吸烟与打鼾和SAHS的关系密切;吸烟可以使不同性别人群打鼾和SAHS患病率升高。
Objective To investigate the effect of smoking on the prevalence of sleep apnea-hypopnea syndrome (SAHS). Methods According to the cluster sampling method of the marrow machine, we conducted a survey of residents over the age of 30 in Shuangqiao District of Chengde City. A total of 1168 people were surveyed, and some patients with grade 2 and above were monitored for overnight sleep respiration. Results Snoring rate in smoking group (69.09%) was significantly higher than that in non-smoking group (45.07%, P = 0.000). The snoring rate in male smoking group (69.72%) was significantly higher than that in non-smoking group (60.80%, P = 0.033). The snoring rate in female smoking group (61.80%) was significantly higher than that in non-smoking group (39.70%, P = 0.011). The snoring rate of male non-smoking group (60.80%) was significantly higher than that of female non-smoking group (39.70%, P: 0.000). There was no significant difference in snoring rate between male and female smokers (P = 0.927). Logistic multiple regression analysis showed that smoking index was an independent risk factor for snoring (P = 0.003). After 127 patients with ≥2 snorers were monitored by portable polysomnography, AHI≥5 and ESS≥3,6,9 were used to judge the presence or absence of SAHS, and the prevalence of SAHS in smoking group was significantly higher than that in non-smoking group Smoking group (P <0.001). Conclusions Smoking and snoring are closely related to SAHS. Smoking can increase the prevalence of snoring and SAHS among different sex groups.