东莞地区6~18岁儿童青少年阻塞性睡眠呼吸暂停低通气综合征相关症状流行病学调查

摘要

目的：调查东莞地区6~18岁儿童青少年阻塞性睡眠呼吸暂停低通气综合征相关症状的流行病学资料。方法：通过问卷调查收集东莞地区17254名6~18岁儿童青少年睡眠呼吸状况和阻塞性睡眠呼吸暂停低通气综合征相关症状的发病情况及相关因素。结果：17254名儿童青少年中发生鼾症4132例，发病率为23.95%。其中每周5次（含5次）以内3443例，占83.33%；每周5次以上691例，占16.67%。两组患者（打鼾组4132例，非打鼾组13122例）年龄、性别、身高、体重、BMI、颈围、颈长、颈围/颈长比值均有统计学差异（P<0.05）。两组患者“易惊醒”和“日间嗜睡”无统计学差异（P>0.05），其余调查项目均有统计学差异（P<0.05）。相关性分析中，“易惊醒”和“日间嗜睡”无统计学差异（P>0.01），其余调查项目均有统计学差异（P<0.01）。结论：东莞地区6~18岁儿童青少年阻塞性睡眠呼吸暂停低通气综合征相关症状发病率较高，应引起家长和医务工作者的重视。%Objective:To survey epidemiological data of OSAHS among children and adolescent in Dongguan district. Method:The clinical data of 17 254 children and adolescent in Dongguan district were collected.Result:23.95% of children and adolescent presented OSAHS. Among 5 times a week(including 5 times)of less than 3443 cases,accounted for 83.33%;16.67%of children and adolescent who presented OSAHS snore more than five times a week. 17 254 children and adolescent were divided into snoring group(n=4142)and no snoring group(n=13 122). There were significant differences in age,sex,height,weight,BMI,neck circumference,neck length and ratio of neck circumference and neck length between two groups(P<0.05). There were no significant differences in“Easy to wake up”and “Daytime sleepiness”between two groups(P>0.05). Except for“Easy to wake up”and “Daytime sleepiness”, correlation between snoring and other factors were significant(P<0.01).Conclusion:The morbidity of OSAHS among children and adolescent in Dongguan district is high. We could pay more attention to OSAHS.