台山市电厂职工阻塞性睡眠呼吸暂停疾病风险筛查现状及影响因素分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (9): 1197-1202.

台山市电厂职工阻塞性睡眠呼吸暂停疾病风险筛查现状及影响因素分析

吴澳¹, 谢红珍^1,2, 段欣雨¹, 樊晓奇², 王建晶², 任丽芳³

1.广东药科大学护理学院,广东广州 510000;
2.中国人民解放军南部战区总医院健康医学科,广东广州 510010;
3.昆明医科大学第三附属医院内二科,云南昆明 650118

收稿日期:2024-08-23 修回日期:2025-02-26 出版日期:2025-05-01 发布日期:2025-12-12
通信作者: 谢红珍,主任护师,E-mail：hongzhenxie@163.com
作者简介:吴澳,男,在读硕士研究生,研究方向为重症监护。
基金资助:
广东省岭南南丁格尔护理研究院、广东省护理学会2023年度护理创新发展研究课题（YJYZ202313）

Analysis on current status and influencing factors of risk screening for obstructive sleep apnea among power plant employees in Taishan City

WU Ao¹, XIE Hongzhen^1,2, DUAN Xinyu¹, FAN Xiaoqi², WANG Jianjing², REN Lifang³

1. School of Nursing,Guangdong Pharmaceutical University,Guangzhou,Guangdong 510000,China;
2. Department of Health Medicine,General Hospital of Southern Theater Command of PLA,Guangzhou,Guangdong 510010,China;
3. Department of Internal Medicine II,The Third Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650118,China

Received:2024-08-23 Revised:2025-02-26 Online:2025-05-01 Published:2025-12-12
Contact: XIE Hongzhen,Chief nurse,E-mail：hongzhenxie@163.com

摘要/Abstract

摘要： 目的了解台山市电厂职工阻塞性睡眠呼吸暂停（obstructive sleep apnea,OSA）风险的筛查现状,分析其风险增加的影响因素,并探索与OSA相关的血液指标在非确诊人群中的变化及意义,旨在为推动疾病预防的后续研究提供理论依据。方法采用便利抽样法,于2023年8月选取台山市电厂242名进行健康检查的职工,采用STOP-Bang问卷对其进行OSA筛查,并分为低风险组（STOP-Bang评分<3分）和高风险组（STOP-Bang评分≥3分）,比较2组基线资料与血液指标,通过Poisson回归分析其OSA风险程度的影响因素。结果 OSA高风险者113名,高风险率达到46.7%。Poisson回归结果显示,男性（RR=6.56,95%CI：2.546~16.901）、年龄40~<60岁（RR=1.713,95%CI：1.270~2.311）、年龄≥60岁（RR=2.230, 95%CI：1.197~4.155）、诊断过OSA相关疾病（RR=1.493,95%CI：1.137~1.960）、三酰甘油（RR=1.596,95%CI：1.224~2.081）、总胆固醇（RR=1.066,95%CI：1.020~1.115）、低密度脂蛋白（RR=5.287,95%CI：2.330~11.997）、尿酸（RR=1.002,95%CI：1.000~1.003）、血糖（RR=1.050,95%CI=1.023~1.079）、糖化血红蛋白（RR=1.085,95%CI：1.034~1.138）等是OSA高危风险的独立危险因素,高密度脂蛋白（RR=0.750,95%CI：0.632~0.889）是其独立保护因素。结论该电厂职工OSA高风险率较高,其高风险率与低诊断率形成鲜明对比,建议各级医疗机构对OSA科普工作引起一定的重视。根据分析结果,建议该电厂职工关注自身血脂、血糖、尿酸水平,若有明显升高应积极进行OSA的筛查和诊断,尤其是高龄男性和有OSA相关疾病史者。

关键词: 阻塞性睡眠呼吸暂停, 疾病风险, 筛查, 现状, 影响因素分析

Abstract: Objective To understand the current status of screening of obstructive sleep apnea（OSA） risk among power plant employees in Taishan City,analyze the influencing factors of its increased risk,and explore the changes and significance of blood indicators related to OSA in non-diagnosed populations,aiming to provide a theoretical basis for promoting subsequent research on disease prevention. Methods Convenience sampling was used to select 242 employees from a power plant in Taishan City who underwent physical examination in August 2023. STOP-Bang questionnaire was used to screen them for obstructive sleep apnea,and they were divided into low-risk group（STOP-Bang score <3 points） and high-risk group（STOP-Bang score ≥3 points）. The baseline data and blood indexes of the two groups were compared,and the influencing factors of OSA risk degree were analyzed by Poisson regression. Results There were 113 high-risk patients with OSA,with a high-risk rate of 46.7%. Poisson regression results showed that male（RR=6.56,95%CI：2.546-16.901）,aged 40-<60 years（RR=1.713,95%CI：1.270-2.311）,aged ≥60 years（RR=2.230,95%CI：1.197-4.155）,diagnosed with OSA related diseases（RR=1.493,95%CI：1.137-1.960）,triglycerides（RR=1.596, 95%CI：1.224-2.081）,total cholesterol（RR=1.066,95%CI：1.020-1.115）,low-density lipoprotein（RR=5.287,95%CI：2.330-11.997）,uric acid（RR=1.002,95%CI：1.000-1.003）,blood glucose（RR=1.050,95%CI：1.023-1.079）,glycated hemoglobin（RR=1.085, 95%CI：1.034-1.138） were independent risk factors for OSA,while high-density lipoprotein（RR=0.750,95%CI：0.632-0.889） was independent protective factor. Conclusion The high risk rate of OSA among employees in the power plant is relatively high,and the high risk rate contrasts sharply with the low diagnostic rate. It is suggested that medical institutions at all levels should pay attention to the popularization of OSA. According to the analysis results,it is suggested that the employees of the power plant should pay attention to their own blood lipid,blood glucose and uric acid levels,and they should actively undergo screening and diagnosis of OSA,if there is a significant increase,especially for elderly males and those with a history of OSA related diseases.

Key words: Obstructive sleep apnea, Disease risk, Screening, Current situation, Analysis of influencing factors

中图分类号:

吴澳, 谢红珍, 段欣雨, 樊晓奇, 王建晶, 任丽芳. 台山市电厂职工阻塞性睡眠呼吸暂停疾病风险筛查现状及影响因素分析. [J]职业与健康, 2025, 41(9): 1197-1202.

WU Ao, XIE Hongzhen, DUAN Xinyu, FAN Xiaoqi, WANG Jianjing, REN Lifang. Analysis on current status and influencing factors of risk screening for obstructive sleep apnea among power plant employees in Taishan City. [J]OCCUPATION AND HEALTH, 2025, 41(9): 1197-1202.

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