论文部分内容阅读
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。“,”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.