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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.

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。

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