目的：探讨广州市彩虹街社区儿童OSAHS与肥胖症发病的相关因素，并以此制订社区卫生服务中心对本社区儿童OSAHS及肥胖症的防治措施。方法：采取分层随机整群抽样调查方法进行抽样，每个社区的居民中按门牌号随机抽取，对3～14岁的儿童进行调查。结果：本组共调查3～14岁的儿童2349例，其中男1264例，女1085例，共检出OSAHS 121例，肥胖症285例，其中OSAHS合并肥胖症53例。养育方式、独生子女、父母学历、饮食习惯、零食习惯、运动习惯等因素对肥胖症发病有影响。扁桃体肿大、腺样体肥大、肥胖等因素对OSAHS发病有影响。大多数家长对儿童OSAHS及肥胖症的认知不充分，且治疗态度不积极。结论：肥胖、腺样体肥大、下鼻甲肿大是导致儿童阻塞性睡眠呼吸暂停低通气综合征的主要因素。%Objective:To explore the related factors of the onset of obesity and children with OSAHS in Caihong street community of Guangzhou and to develop the measures to preventing and controlling the of children with OSAHS and obesity in the health service center of community.Methods:The children 3~14 years old were investigated according to the house number in each community residents randomly by the stratified random cluster sampling method.Results:Among 2349 cases of children aged 3~14 in this group which included male 1264 cases and female 1085 cases,121 cases with OSAHS and 285 cases of obesity were detected,which included 53 cases of OSAHS with obesity.The factors had an effect on the onset of obesity,such as rearing patterns, only child,parents' education,diet habit,snacks habit,exercise habits and other factors.The factors had an effect on the onset of OSAHS,such as tonsil swollen,adenoid hypertrophy,obesity and other factors.Most parents of children had no sufficient cognition of OSAHS and obesity and no positive treatment attitude.Conclusion:Obesity,adenoid hypertrophy,inferior turbinate enlargement were the main factors for obstructive sleep apnea hypopnea syndrom in children.
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