摘要
目的调查合肥市7～12岁学龄儿童睡眠呼吸障碍(sleep-disordered breathing,SDB)发生现状及与其特应性疾病的关系及影响因素,为预防儿童SDB及提高儿童SDB治愈率提供依据。方法采取整群+分层抽样的方法抽取位于合肥市东、南、西、北的4个区的4所小学的2200例7～12岁在校学生作为调查对象,由其家长进行现场问卷调查,了解SDB的发生情况、流行病学特点及与特应性疾病的关系。结果合肥市7～12岁学龄儿童睡眠中歇性打鼾发生率为51.7%,习惯性打鼾发生率为5%,其他SDB相关的症状,如呼吸费力、呼吸急促、鼻音过响、睡眠呼吸暂停的发生率分别为1.3%、2.0%、13.5%、0.7%。参与调查的1996例学龄儿童中存在特应性疾病者占33.8%(766/1996),患特应性疾病的儿童中夜间有习惯性打鼾者占8.8%,无特应性疾病的儿童存在习惯性打鼾者占3.4%,两者存在统计学差异(χ2=27.050,P=0.000),睡眠呼吸暂停发生情况在两组间也有显著差异(χ2=16.984,P=0.003)。结论合肥市7～12岁儿童SDB发生率较高,患有特应性疾病的儿童中SDB发生率高于非特应性疾病儿童;睡眠呼吸暂停发生情况在特应性疾病和非特应性疾病儿童间也有显著差异;特应性疾病为儿童期SDB的危险因素。
OBJECTIVE To investigate the incidence of sleep-disordered breathing（SDB）and its relationship with atopic disease in children in Hefei,and to provide evidence for prevention and treatment of SDB in children.METHODS A cluster and stratified sampling was conducted among 2200 children aged 7-12 years from 4 primary schools which located respectively in four districts in Hefei.The current situation and related states,the epidemiological features,influencing factors and the relationship of SDB with atopic disease were studied by questionaire survey.RESULTS The prevalence of symptoms related to SDB in children aged 7-12 years were as follows： the prevalence of children＇s sleep snoring was 51.7%,habitual snoring 5%,breathing difficulty 2.1%,shortness of breath 1.4%,louder nasal sound 13.5%,sleep apnea 0.7%.766 out of 1996 children in the survey had been diagnosed as atopic disease（33.8%）.Among these children with atopic disease,there were 8.8% of the children with habitual snoring.While among children without atopic disease,there were only 3.4% of the children with habitual snoring.The prevalence of snoring between children with and without atopic disease had statistical difference（P=0.000）.CONCLUSIONThe prevalence of SDB in children in Hefei is high.The prevalence of SDB in children with atopic disease is higher than that in children without atopic disease.Atopic disease is a risk factor of SDB in childhood.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2011年第5期267-271,共5页
Chinese Archives of Otolaryngology-Head and Neck Surgery
基金
安徽省教育厅重点项目(KJ2009A176)
关键词
呼吸障碍
超敏反应
速发型
儿童
问卷调查
Respiration Disorders
Hypersensitivity
Immediate
Child
Questionnaires
