Objective To study the prevalence of diabetes in SAHS adults aged over 35 years in kelamayi city,and to analyze relationship between sleep apnea and Type 2 diabetes mellitus.Methods 1081 subjects (age≥35) were derived from the population living in three districts in Kelamayi city.All subjects were screened for SAHS using questionnarie,they were asked to answer the questions concerning snoring etc.and meaturing the height,weight,neck circumference,abdominal circumference and blood sugar,include 572 subjects of Han nationality and 509 subjects of Uygur nationality.All subjects have respiration and pulse oximeter testing.Results The body mass index [(24.9 ± 3.2) kg/m2 vs (27.9 ±4.2) kg/m2],neck circumference [(35.3±3.2)cm vs (36.9±3.2) cm],abdominal circumference [(87.6±9.7) cm vs (96.0±11.3) cm],oxygen desaturation over 4％ per hour sleep ＞5 times [(10.8±0.4) times/h vs (7.5±0.4) times/h],the nadir arterial oxygen saturation [(93.2±2.3)％ vs (92.7±6.3)％],apnea htpopnen index [(16.2±15.8) times/h vs (11.3± 14.1) times/h] and blood sugar [(6.3±1.7) mmol/L vs (7.0±2.8) mmol/L] were significantly different bettween Han nationality and Uygur nationality groups (P ＜ 0.01),there are significant difference on the prevalence of diabetes between with and without SAHS groups(34.7％ vs 9.5％) (P ＜0.01),and significant difference on the prevalence of diabetes in SAHS between Han nationality and Uygur nationality groups (39.6％ vs 28.5 ％) (P ＜＜0.05).Conclusions The prevalence of diabetes in SAHS in adults over 35 years old was 44.7％ in Kelamayi city,the prevalence of SAHS and Type 2 diabetes mellitus increased with abdominal circumference,the prevalence of Type 2 diabetes in SAHS groups was higher than no SAHS groups,there relationship between sleep apnea and Type 2 diabetes mellitus.%目的 调查克拉玛依市区35岁以上睡眠呼吸暂停低通气综合征(SAHS)患者中2型糖尿病的患病率,探讨睡眠呼吸紊乱与糖尿病的关系.方法 采用流行病调查的方法对克拉玛依市区3个社区1081名35岁以上汉、维吾尔族常住居民进行入户睡眠问卷调查,其中汉族572名,维吾尔族509名,问卷内容包括打鼾情况、测量身高、体质量、颈围、腹围、血压、血糖.对鼾症人群进行睡眠呼吸血氧监测.结果 汉族组与维吾尔族组间在体质量指数[(24.9±3.2) kg/m2比(27.9±4.2) kg/m2]、颈围[(35.3±3.2) cm比(36.9±3.2) cm]、腹围[(87.6±9.7) cm比(96.0±11.3)cm]、氧减饱和度指数[(10.8±0.4)次/h比(7.5±0.4)次/h]、夜间平均氧饱和度[(93.2±2.3)％比(92.7±6.3)％]、呼吸暂停低通气指数[(16.2±15.8)次/h比(11.3±14.1)次/h]、血糖[(6.3±1.7) mmol/L比(7.0±2.8)mmol/L]等方面差异有统计学意义(P值均＜0.05).SAHS组与非SAHS组中2型糖尿病患病率比较(34.7％比9.5％)差异有统计学意义(P＜0.01).汉族SAHS组糖尿病患病率与维吾尔族SAHS组比较(39.6％比28.5％)差异有统计学意义(P＜0.05).结论 克拉玛依市区35岁以上SAHS人群中2型糖尿病的患病率为34.7％,SAHS及2型糖尿病患病率均随腹围增加而增加,SAHS组2型糖尿病患病率高于非SAHS组,睡眠呼吸暂停与糖代谢紊乱有关.
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