CAJ | 학술논문

目的：探讨中国福建省畲族人群睡眠质量与糖尿病患病的关系。方法采取横断面、多阶段、年龄和性别分层抽样的方法抽取福建省畲族不同村居民共5358人进行睡眠质量问卷调查，并抽血行相关指标检验。结果调查对象的睡眠质量差总患病率为4.5%。而睡眠质量好的人群中糖尿病患病率为5.9%，睡眠质量差的人群中糖尿病患病率高，为16.7%，睡眠质量好的人群中糖尿病患病率明显低于睡眠质量差的患者（χ2＝116.29，P＜0.001）；两因素相关分析显示PSQI积分和血糖水平呈正相关，调整混杂因素后结果显示睡眠质量是糖尿病发病的独立危险因素[OR＝1.722，95%confidence interval（CI）＝1.137～2.607，P＝0.01]。结论福建畲族人群睡眠质量差的人糖尿病患病率较高，应重视睡眠质量差的人群的睡眠障碍的治疗及预防，以降低糖尿病患病率。
목적：탐토중국복건성여족인군수면질량여당뇨병환병적관계。방법채취횡단면、다계단、년령화성별분층추양적방법추취복건성여족불동촌거민공5358인진행수면질량문권조사，병추혈행상관지표검험。결과조사대상적수면질량차총환병솔위4.5%。이수면질량호적인군중당뇨병환병솔위5.9%，수면질량차적인군중당뇨병환병솔고，위16.7%，수면질량호적인군중당뇨병환병솔명현저우수면질량차적환자（χ2＝116.29，P＜0.001）；량인소상관분석현시PSQI적분화혈당수평정정상관，조정혼잡인소후결과현시수면질량시당뇨병발병적독립위험인소[OR＝1.722，95%confidence interval（CI）＝1.137～2.607，P＝0.01]。결론복건여족인군수면질량차적인당뇨병환병솔교고，응중시수면질량차적인군적수면장애적치료급예방，이강저당뇨병환병솔。
Objective To analyze the relation between sleep quality and diabetes in the She ethnic minority group in Fujian province. Methods This study is a cross-sectional survey. Subjects completed a questionnaire collecting demographic and each patient completed the Chinese version of the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Physical examination and clinical laboratory tests were performed. Data were analyzed by regression analysis. Results A total of 5 358 participants entered into the analysis. After adjusting for age, gender and body mass index, the total PSQI score (P<0.001) were significantly correlated with blood glucose. Logistic regression analysis showed the adjusted odds ratio (OR) of PSQI score for blood glucose level was 3.178[OR=3.178, 95% confidence interval (CI)=2.213-4.564, P<0.001]. The adjusted OR of worse glycaemic control for the poor sleep quality group was 1.722 with regard to the group of good sleep quality (OR=1.722, 95% CI=1.137-2.607, P=0.01). Conclusions This study demonstrate that poor sleep quality is significantly correlated with worse glycaemic control in patients with type 2 diabetes.