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本文引用的文献

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"REM-related" obstructive sleep apnea: an epiphenomenon or a clinically important entity?“快速眼动睡眠相关的”阻塞性睡眠呼吸暂停:一种附带现象还是一个具有临床重要性的实体?
Sleep. 2012 Jan 1;35(1):5-7. doi: 10.5665/sleep.1570.
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[VI Brazilian Guidelines on Hypertension].[巴西高血压治疗指南(第六版)]
Arq Bras Cardiol. 2010 Jul;95(1 Suppl):1-51.
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Impact of untreated obstructive sleep apnea on glucose control in type 2 diabetes.未治疗的阻塞性睡眠呼吸暂停对 2 型糖尿病患者血糖控制的影响。
Am J Respir Crit Care Med. 2010 Mar 1;181(5):507-13. doi: 10.1164/rccm.200909-1423OC. Epub 2009 Dec 17.
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Characteristics of sleep-disordered breathing in Japanese patients with type 2 diabetes mellitus.日本 2 型糖尿病患者睡眠呼吸紊乱特征。
Metabolism. 2010 May;59(5):690-6. doi: 10.1016/j.metabol.2009.08.025. Epub 2009 Nov 14.
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Obstructive sleep apnea among obese patients with type 2 diabetes.2型糖尿病肥胖患者中的阻塞性睡眠呼吸暂停
Diabetes Care. 2009 Jun;32(6):1017-9. doi: 10.2337/dc08-1776. Epub 2009 Mar 11.
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Alterations in Glucose Disposal in Sleep-disordered Breathing.睡眠呼吸障碍患者葡萄糖代谢的改变
Am J Respir Crit Care Med. 2009 Feb 1;179(3):235-40. doi: 10.1164/rccm.200809-1392OC. Epub 2008 Nov 14.
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Sleep-disordered breathing and impaired glucose metabolism in normal-weight and overweight/obese individuals: the Sleep Heart Health Study.正常体重及超重/肥胖个体的睡眠呼吸障碍与葡萄糖代谢受损:睡眠心脏健康研究
Diabetes Care. 2008 May;31(5):1001-6. doi: 10.2337/dc07-2003. Epub 2008 Feb 11.
8
[Interactions between obstructive sleep apnea syndrome and insulin resistance].[阻塞性睡眠呼吸暂停综合征与胰岛素抵抗之间的相互作用]
Arq Bras Endocrinol Metabol. 2007 Oct;51(7):1035-40. doi: 10.1590/s0004-27302007000700003.
9
Prevalence of sleep apnea in a population of adults with type 2 diabetes mellitus.2型糖尿病成年人群中睡眠呼吸暂停的患病率。
Endocr Pract. 2007 Jul-Aug;13(4):355-62. doi: 10.4158/EP.13.4.355.
10
[Obstructive sleep apnea and hypopnea syndrome: cephalometric analysis].[阻塞性睡眠呼吸暂停低通气综合征:头影测量分析]
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2型糖尿病患者的睡眠呼吸障碍与临床特征

Sleep respiratory disorders and clinical profile in patients with type 2 diabetes mellitus.

作者信息

Fontela Paula Caitano, Winkelmann Eliane Roseli, Pretto Luciana Meggiolaro, Berlezi Evelise Moraes

机构信息

Sciences of Life Department, Universidade Regional do Noroeste do Estado do Rio Grande do Sul, Ijuí, RS, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2015 Jan;19(1):67-73. doi: 10.1055/s-0034-1395998. Epub 2014 Dec 1.

DOI:10.1055/s-0034-1395998
PMID:25992154
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4392518/
Abstract

Introduction Sleep respiratory disorders (SRDs) are often found in patients with type 2 diabetes mellitus (T2DM). Objective The aim was to establish the prevalence of risk to develop an SRD using the Clinical Berlin Questionnaire (CBQ) and Epworth Sleepiness Scale (ESS) in patients with T2DM and verifying the correlation of anthropometric measurements and life quality (LQ) with ESS. Methods A descriptive and analytical study of a case series evaluating 208 patients with T2DM, submitted to clinical and biochemical evaluation and implementation of CBQ, ESS, and WHOQOL-bref to evaluate LQ. Results Mean age was 60.8 ± 8.8 years, and 65.4% were women. Most diabetics were overweight (36.1%), and 29.8% were class I obese. One-third had positive risk signals for a SRD, with 87.0 and 34.1% having high risk in CBQ and sleep disorders in ESS, respectively. There was a significant difference in the general LQ between the low- and high-risk groups in the CBQ. Conclusion In this scenario, it is noteworthy that the active search for sleep disorders must start from simple methods, such as application of protocols.

摘要

引言

睡眠呼吸障碍(SRD)在2型糖尿病(T2DM)患者中经常被发现。目的:旨在使用临床柏林问卷(CBQ)和爱泼沃斯思睡量表(ESS)确定T2DM患者发生SRD的风险患病率,并验证人体测量指标和生活质量(LQ)与ESS的相关性。方法:对208例T2DM患者进行病例系列的描述性和分析性研究,对其进行临床和生化评估,并实施CBQ、ESS和世界卫生组织生活质量简表(WHOQOL-bref)以评估LQ。结果:平均年龄为60.8±8.8岁,65.4%为女性。大多数糖尿病患者超重(36.1%),29.8%为I级肥胖。三分之一的患者有SRD的阳性风险信号,分别有87.0%和34.1%在CBQ中具有高风险和在ESS中存在睡眠障碍。CBQ中低风险组和高风险组的总体LQ存在显著差异。结论:在这种情况下,值得注意的是,对睡眠障碍的积极筛查必须从简单的方法开始,如应用相关量表。