CAJ | 학술논문

目的评价胰岛素治疗的2型糖尿病患者睡眠质量及其与长期血糖控制情况之间的相关性.方法本研究纳入129例门诊或者住院胰岛素注射治疗的2型糖尿病患者(男74例,女55例),采用匹兹堡睡眠质量指数(PSQI)调查问卷评估受试者主观睡眠特征,检测静脉血浆空腹血糖、餐后血糖及糖化血红蛋白(HbA1c),通过相关性分析睡眠质量与血糖控制的关系.结果胰岛素治疗患者总体 PSQI 为6.38±3.77,血糖控制良好(HbA1c<7%)的患者 PSQI 显著低于血糖控制较差(HbA1c>7%)的患者(P<0.05),总体 PSQI 与空腹血糖及 HbA1c 呈显著正相关(r=0.187、0.218,均 P<0.05).结论血糖控制不佳的胰岛素治疗2型糖尿病患者总体睡眠质量不高,更容易出现主观睡眠质量障碍,睡眠效率下降,血糖控制与睡眠质量紧密相关.
목적평개이도소치료적2형당뇨병환자수면질량급기여장기혈당공제정황지간적상관성.방법본연구납입129례문진혹자주원이도소주사치료적2형당뇨병환자(남74례,녀55례),채용필자보수면질량지수(PSQI)조사문권평고수시자주관수면특정,검측정맥혈장공복혈당、찬후혈당급당화혈홍단백(HbA1c),통과상관성분석수면질량여혈당공제적관계.결과이도소치료환자총체 PSQI 위6.38±3.77,혈당공제량호(HbA1c<7%)적환자 PSQI 현저저우혈당공제교차(HbA1c>7%)적환자(P<0.05),총체 PSQI 여공복혈당급 HbA1c 정현저정상관(r=0.187、0.218,균 P<0.05).결론혈당공제불가적이도소치료2형당뇨병환자총체수면질량불고,경용역출현주관수면질량장애,수면효솔하강,혈당공제여수면질량긴밀상관.
Objective To investigate the sleep quality in type 2 diabetes patients with insulin treatment and analyze the correlation between sleep quality and glycemic control. Methods One hundred and twenty nine patients with type2 diabetes under insulin treatment in Zhejiang Provincial People's Hospital were recruited. The quality of sleep was assessed with Pittsburgh Sleep Quality Index (PSQI). Pearson correlation was performed to analyze the correlation between PSQI score and glycemia con-trol (FPG, PPG, HbA1c). Results The average PSQI global score was 6.38±3.77 in diabetic patients, PSQI scores were signifi-cantly lower in glycemic wel -control ed patients(HbA1c<7%)than those in poorly-control ed patients(HbA1c>7%)(P<0.05). PSQI global scores were positively correlated with fast plasma glucose level (r=0.187, P<0.05) and HbA1c levels (r=0.218, P<0.05). Conclusion Poor subjective sleep quality and sleep efficacy are present in type 2 diabetic patients under insulin treat-ment; glycemic control may improve the quality of sleep in diabetic patients.