公务员人群对打鼾危害的认知度及阻塞性睡眠呼吸暂停患病率现状调查
Investigation on the awareness of snoring hazard and prevalence of obstructive sleep apnea among civil servants
目的:调查公务员人群对打鼾危害的认知度及阻塞性睡眠呼吸暂停(OSA)患病率。方法:采用横断面调查方法对广东省某省直单位2017年9—11月进行年度体检的1 241名在职公务员进行打鼾危害的认知度调查,纳入资料完整的1 036名,其中男799名,女237名,年龄22~63岁,平均(41±9)岁,筛查OSA高危人群。对OSA高危人群行睡眠监测诊断,调查OSA患病率。结果:60.1%(623/1 036)的公务员认识到打鼾对身体有影响,获知途径最多是通过网络(371/623,59.6%),其次为电视(290/623,48.0%)、亲戚朋友(277/623,46.6%)、报纸(229/623,44.5%)和广播(118/623,18.9%)。对打鼾所致后果的认知度由高到低依次为:睡眠质量下降(448/623,71.9%)、猝死(325/623,52.2%)、日间嗜睡(276/623,44.3%)、心脑血管疾病(267/623,42.9%)、高血压(152/623,24.4%)及性功能低下(104/623,16.7%)。筛查发现OSA高危人群占22.0%(228/1 036),高危人群中OSA患病率为46.1%(105/228),仅0.9%(2/228)既往诊断过OSA。结论:公务员人群对打鼾所致危害有一定程度认知。OSA高危公务员人群OSA的患病率高,但诊治率低。
更多Objective:To investigate the awareness of snoring hazard and prevalence of obstructive sleep apnea (OSA) among civil servants.Methods:A cross-sectional survey was conducted to investigate the awareness of snoring hazards among in-service civil servants who had annual medical examination in a Guangdong provincial institution from September to November 2017. The high-risk group for OSA was screened and diagnosed by sleep monitoring.Results:1 036 of 1 241 civil servants were enrolled in the study for integral data. 60.1% (623/1 036) of the subjects realized that snoring was harmful to health. The most common source to develop OSA awareness was network (59.6%, 371/623), followed by television (48.0%), relatives and friends (46.6%), newspaper (44.5%) and radio (18.9%). The awareness rate of snoring consequences was as follows: decreased sleep quality (71.9%, 448/623), sudden death (52.2%), daytime sleepiness (44.3%), cardiovascular and cerebrovascular diseases (42.9%), hypertension (24.4%) and sexual dysfunction (16.7%). 22.0% (228 / 1 036) of the cases were classified into high-risk OSA. The prevalence of OSA among high-risk group was 46.05%(105/228)and only 0.9% (2/228) of them had been diagnosed with OSA.Conclusion:Civil servants had awareness of snoring hazard to a certain extent. Among civil servants classified into high-risk OSA, the OSA perveance was high but the rate of diagnosis and treatment was very low.
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