摘要
目的:调查2型糖尿病患者睡眠质量状况并分析2型糖尿病患者睡眠质量与血糖控制水平、微血管并发症的关系.方法:选取2022年8月至2023年8月福建霞浦县医院检验科收治的2型糖尿病患者154例作为研究对象,随机分为观察组(n=108)和对照组(n=46).采用匹兹堡睡眠质量指数(PSQI)量表评估本组患者的睡眠质量,比较2组患者临床资料差异,并采用Pearson法分析2型糖尿病患者睡眠质量与血糖控制水平、微血管并发症的相关性.结果:1)本研究154例患者中,PSQI评分≤5分患者共计46例(29.9％),6～10分患者共计42例(27.3％),11～15分患者共计38例(24.7％),≥16分患者共计28例(18.2％);2)通过对比发现,2组在性别、年龄、病程、体质量、文化水平比较,差异无统计意义(P＞0.05),但在空腹血糖、餐后2 h血糖、糖化血红蛋白、微血管并发症等方面比较,差异有统计学意义(P＜0.05);3)通过Pearson法分析发现,空腹血糖、餐后2 h血糖、糖化血红蛋白、微血管并发症与2型糖尿病患者睡眠质量存在负相关性(P＜0.05).结论:2型糖尿病患者中普遍存在睡眠质量低的问题,且空腹血糖、餐后2 h血糖、糖化血红蛋白、微血管并发症与2型糖尿病患者睡眠质量存在负相关性.
Abstract
Objective:To investigate the sleep quality of type 2 diabetes patients and analyze the relationship between sleep qual-ity and blood glucose control and microvascular complications in type 2 diabetes patients.Methods:A total of 154 patients with type 2 diabetes mellitus were selected from August 2022 to August 2023,and the sleep quality of this group was evaluated using the Pittsburgh Sleep Quality Index(PSQI score),and the patients in this group were divided into observation group(PSQIscore＞5 points)and control group(PSQI score ≤ 5 points)according to PSQIscore,and the clinical data differences between the two groups were compared.The Pearson method was used to analyze the correlation between sleep quality,blood glucose control,and microvascular complications in type 2 diabetes patients.Results:1)Among the 154 patients in this study,46 patients(29.9％)a PSQI score≤5,42 patients(27.3％)a PSQIscore 6-10,38 patients(24.7％)with a PSQI score of 11-15,and 28 patients(18.2％)with PSQI score≥ 16.2)the comparison showed that there were no significant differences between the two groups in gender,age,course of disease,body mass,and educational level(P＞0.05).Still,there were significant differences in fasting blood glucose,two h postprandial blood glucose,glycated hemoglobin,and microvascular complications(P＜0.05).3)By Pearson analysis,fasting blood glucose,two h postprandial blood glucose,glycated hemoglobin,and microvascular complications were nega-tively correlated with sleep quality in type 2 diabetes patients(P＜0.05).Conclusion:Low sleep quality is expected in patients with type 2 diabetes,and there is a negative correlation between fasting blood glucose,two h postprandial blood glucose,glycated hemoglobin,and microvascular complications and sleep quality in patients with type 2 diabetes.
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