每年的3月21日是国际睡眠日,据说该节日的由来,是因为美国国家卫生研究院的一项统计数据,该数据显示日前睡眠障碍已成为一个严重的社会问题。其中睡觉打鼾是引起睡眠质量低下的一个最多见的原因。上海复大医院耳鼻喉专家介绍说,其实鼾症的危害,不仅仅如此,更重要的是引起的低氧、高碳酸血症可导致心、脑、肾等重要脏器的损害。
据统计,“鼾症”在人群中的发病率为15%~20%,这部分人群中有1/5为睡眠呼吸暂停综合征,我国约有4000万左右。 流行病学调查显示:30~35岁的人群中,有20%的男性和5%的女性打鼾;60岁左右的人群中,则有60%男性和40%女性打鼾;肥胖者打鼾的要比瘦者多3倍;严重的打鼾者与相同年龄和体重的不打鼾者比较,前者患高血压的可能性更大,且往往发展成为阻塞性睡眠呼吸暂停。因为开车打瞌睡而引发的交通事故占总交通事故的25%。同时可引起白天疲倦、嗜睡、记忆力减退、肥胖、脾气暴躁、性欲减退、老年呆滞等各种症状体征。现已发现80多种疾患与人的睡眠有关,睡眠呼吸暂停综合征已经成为都市人健康的隐形杀手。
阻塞性睡眠呼吸暂停综合症(OSAHS),一般指上气道塌陷堵塞引起的呼吸暂停和低通气不足,具体指成人7小时睡眠时间,发作次数大于30次,每次发作时,口、鼻气流停止大于10秒,伴血氧饱和度下降,称之为阻塞性睡眠呼吸暂停综合征。呼吸暂停可以分为中枢性、阻塞性和混合性三种。中枢性呼吸暂停表示肺内无气流进入,无口鼻气流亦无胸腹呼吸运动;而阻塞性呼吸暂停时口鼻无气流通过,而胸腹呼吸运动存在。
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