首页|2型糖尿病患者血尿酸水平与阻塞性睡眠呼吸暂停低通气综合征的相关性分析

2型糖尿病患者血尿酸水平与阻塞性睡眠呼吸暂停低通气综合征的相关性分析

Correlation analysis of blood uric acid and obstructive sleep apnea hypopnea syndrome in patients with type 2 diabetes mellitus

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目的 分析2型糖尿病(T2DM)患者血尿酸(SUA)水平与阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患病风险的相关性.方法 回顾性分析T2DM住院患者的相关临床资料,将SUA水平第三分位定义为高水平SUA,呼吸暂停低通气指数(AHI)≥5定义为OSAHS.200例T2DM患者中,OSAHS患者(OSAHS组)110例,无OSAHS患者(非OSAHS组)90例.比较两组SUA水平,分析SUA水平与OSAHS参数的相关性,分析SUA水平与OSAHS患病风险的相关性,以及分析不同代谢状态下SUA水平与OSAHS患病风险的相关性.结果 OSAHS组患者SUA高于非OSAHS组(P<0.05).SUA与AHI和夜间氧减饱和度指数呈正相关(P<0.05),而与平均血氧饱和度和最低血氧饱和度呈负相关(P<0.05).SUA每升高1个标准差,OSAHS患病风险增加0.5倍[OR=1.50,95%CI(1.06~2.18)].相较于非高水平SUA患者,高水平SUA的T2DM患者OSAHS患病风险增加1.10倍[OR=2.10,95%CI(1.03~4.30)];而患有代谢综合征的T2DM患者,OSAHS患病风险则增加1.96倍[OR=2.96,95%CI(1.48~5.91)].结论 T2DM患者SUA水平与OSAHS患病风险密切相关.患有代谢综合征的T2DM患者,OSAHS患病风险明显增加.
Objective To analyze the correlation of serum uric acid(SUA)level and the risk for the occurrence of obstructive sleep apnea hypopnea syndrome(OSAHS)in the patients with type 2 diabetes mellitus(T2DM).Methods Relevant clinical data of T2DM inpatients were retrospectively analyzed.The SUA level third quartile was defined as high SUA and apnea hypopnea index(AHI)≥5 was defined as OSAHS.Of 200 T2DM patients,110 cases were with OSAHS(group A)and 90 cases were without OSAHS(group B).The SUA level of the two groups was compared,and the correlation between SUA level and OSAHS parameters was analyzed,and the correlation between SUA level and the risk for OSAHS was analyzed,as well as the correlation between SUA level and risk for OSAHS under different metabolic states was analyzed.Results SUA was significantly higher in group A than that in group B(P<0.05).SUA was positively correlated with AHI and oxygen desaturation index and negetively correlated with average value of blood oxygen saturation and minimum blood oxygen saturation(P<0.05).For each SD deviation of SUA,the risk of OSAHS increased 0.5 time[OR=1.50,95%CI(1.06-2.18)].Compared to T2DM patients with low levels of SUA,T2DM patients with high levels of SUA had a 1.10 times increased risk for OSAHS[OR=2.10,95%CI(1.03-4.30)].In T2DM patients with metabolic syndrome,the risk for OSAHS increased 1.96 times[OR=2.96,95%CI(1.48-5.91)].Conclusion The SUA level in T2DM patients is strongly associated with the risk for the occurrence of OSAHS.The T2DM patients with metabolic syndrome have a significantly increased risk of OSAHS.

Serum uric acidObstructive sleep apnea hypopnea syndromeMetabolic syndrome

刘震宇、蒋晓红、黄小琳

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213100 江苏常州,苏州大学附属第三医院(常州市第一人民医院)内分泌代谢科

血尿酸 阻塞性睡眠呼吸暂停低通气综合征 代谢综合征

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(9)