首页|阻塞性睡眠呼吸暂停对糖尿病患者同型半胱氨酸水平的影响

阻塞性睡眠呼吸暂停对糖尿病患者同型半胱氨酸水平的影响

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目的探讨阻塞性睡眠呼吸暂停综合症(OSAHS)对2型糖尿病(T2DM)患者同型半胱氨酸(Hcy)水平的影响,提高OSAHS与糖尿病关系的认识。方法140例2型糖尿病患者进行多导睡眠监测。根据呼吸睡眠暂停低通气指数(AHI)将糖尿病患者分为OSAHS组和非OSAHS组。收集患者一般资料,检测Hcy、糖代谢等指标并计算胰岛素抵抗指数(HOMA-IR),比较两组参数差异。结果 T2DM伴OSAHA组患者血Hcy水平显著高于无OSAHA组(P <0.001);将血Hcy与AHI作Pearson相关分析,显示Hcy与AHI呈正相关;多元线性回归模型校正其他因素后,仍显示AHI是血Hcy的独立预测因子。结论伴OSAHS的T2DM患者有高的Hcy,且与OSAHS相关。
Impact of obstructive sleep apnea on homocysteine in type 2 diabetic patients
Objective To investigate the impact of OSA(obstractive sleep apnea) syndrome on homocysteine in type 2 diabetic patients for better understanding the relationship of DM with OSAHS. Methods Those 140 DM patients with complete clinical data were divided into two groups according to their apnea-hypopnea indices(AHI): DM with OSAHS(n=78) and DM without OSAHS(n=62). General conditions, homocysteine and glycemic control parameters were detected and compared. And then, an analysis on the relation of sleep monitoring indices and Hcy was performed in the OSAHS group. Results The mean level of homocysteine was significantly higher in the OSAHS group than that in the non-OSAHS group(P <0.001), pearson correcation analysis revealed a positive correlation between the homocysteine level and severity of AHI, further multiple linear regression analysis showed that AHI were independent predictors of homocysteine level. Conclusion Patients with obstructive sleep apnea-hypopnea ayndrome complicated by type 2 diabetes have a high level of homocysteine,and had a positive correlation with OSAHS.

Sleep apneaObstructiveType 2 diabetes mellitusHomocysteine

苏丽清、迟海燕、王海静、周玉萍、李忠巧

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264200 山东省威海市立医院内分泌科

睡眠呼吸暂停,阻塞性 2型糖尿病 同型半胱氨酸

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(11)
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