Analysis On Screening And Hazards Of Sleep Apnea And OSAHS Among Civil Servants In Changchun City

Snoing is due to upper airway anatomical or functional narrow, airflow throughthe upper airway obstruction,formed a vortex vibration of the soft palate.Obstructive sleep apnea hypopnea syndrome refers to apnea and hypoventilationcaused by the repetitive partial or complete closure of the upper airway during sleepwhich will lead to louder snoring, frequent awakenings, disrupted sleep, andexcessive daytime sleepiness. According to a large number of researches, OSAHS isan independent risk factor for cardiovascular and cerebrovascular diseases, such ascoronary heart disease、hypertension、atherosclerosis、heart failure and cerebralapoplexy. It has become a huge public hygienic issue. Meanwhile, severe OSAHSmay also interfere with patients’ normal sleep, causing daytime sleepiness,absent-minded, fatigue, and efficiency reduction, affecting the driver’s riding abilitywhich will lead to a series of social problems such as traffic accidents. So far,OSAHS has not been fully understood, many patients do not aware of the damageOSAHS and they do not go to the hospital for examination which causes delaysdiagnosis of OSAHS. Therefore, it is of great significance of discovering apreliminary screening method of OSAHS to screening suspected OSAHS patients inorder to implement early prevention, reducing medical fee, preventing theoccurrence of severe complications effectively, and improving people’s quality oflife.【Objective】This thesis is going to take the physical examination ofgovernment functionary as an opportunity to make an investigation on snoring anddaytime sleepiness among government functionary in Changchun. Based on thedetection situation of Changchun government functionary snoring and suspectedOSAHS, this thesis will make a comprehensive analysis on its influencing factors and provide scientific basis to make targeted intervention strategy.【Methods】This thesis adopts convenience sampling as method to select439Changchun government functionaries as respondents who take physical examinationin the First Affiliated Bethune Hospital of Jilin University. These functionaries willfill questionnaires and take physical measurements; we will collect their relevantmedical information. Survey questionnaire mainly includes basic information (name,gender, age, nationality, status of smoking, alcohol drinking and exercise), snoring,and daytime sleepiness. According to the guide (draft) of diagnosis and treatment ofobstructive sleep apnea hypopnea syndrom, we can screen out suspected OSAHSpatients through the combination of grading snoring and daytime sleepiness. Ourinvestigators adopt standard instruments and methods to measure height, weight andwaist size. Using “Epidata3.1” to input physical measurements and physicalexamination information and “software SPSS13.0”to analyze the statistic.【Results】(1) The detection rate of snoring：People who snore194people（44.2%），who are mild snorers45(10.3%), who are moderate snorers124people(28.2%), and those who are severe snorers25people (5.7%). The detection rate ofmale moderate and severe snoring is significantly higher (41.0%) than that of women(20.5%). The detection rate of alcohol drinkers with moderate and severe snoring issignificantly higher (46.3%) than non-drinkers (28.5%). Smokers with moderate andsevere snoring were significantly higher (45.7%) than non-smokers (29.7%).(2) Awareness degree of snoring：205people（46.7%）have correct cognitionof snoring. The correct cognitive rate of snoring among men（40.6%）is obviouslylower than women（58.3%）. The correct cognitive rate of snoring among alcoholdrinkers（38.8%）is obviously lower than non-alcohol drinkers（50.2%）. The correctcognitive rate of snoring among smokers （38.8%） is obviously lower thannon-smokers （49.5%）.The correct cognitive rate of snoring among abdominalobesity(42.3%) is lower than non-abdominal obesity（53.5%）. The correct cognitive rate ofsnoring among snorers（41.2%） is obviously lower than those who never snore（51.0%）.(3) The detection rate of OSAHS suspected people: The initial detection rateof OSAHS suspected people is34people(7.7%), including22men (7.6%) and12 women (7.9%). The detection rate of OSAHS suspected people among alcoholdrinkers is7.5%. The detection rate of OSAHS suspected people among smokers is6.9%. The detection rate of OSAHS suspected people among overweight and obesepeople （10.1%）is higher than Non-overweight or obese people（5.0%）.(4) Risk factors for snoring and suspected OSAHS: Regression analysis ofLogistic indicates that overweight and obese, alcohol drinking and fatty liver are riskfactors for moderate-severe snoring. Overweight and obesity are the risk factors forOSAHS suspected people.【Conclusion】The detection rate of moderate-severe snoring and OSAHS ofcivil servants in Changchun is high. The detection rate of moderate and severesnoring is33.9%and the detection rate of OSAHS suspected people is7.7%.Overweight and obesity are the risk factors for moderate and severe snoring andOSAHS suspected people. Alcohol drinking, obesity and fatty liver are the riskfactors for moderate-severe snoring. The correct cognitive rate of snoring amongcivil servants in Changchun is46.7%, the cognitive of snoring needs to beimproved. The correct cognitive rate of snoring among civil servants inChangchun is46.7%which needs to be improved. Among them, the smokers,alcohol drinkers and obesities are key groups of popularization of snoring andOSAHS.Preliminaey screening,by combining physical examination andquestionnaire surveys, is a simple and applicable method which is also verysignificant for increasing the awareness rates, visit rates and cure rates which arerelated to snoring and OSAHS.