Lin Jiayu, Song Hailing, Liang Meihong, Cai Zeqiang, Chen Tan, Lin Zhenyu, Zhang Jinying
Department of Endocrinology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.
Fujian Medical University, Fuzhou, 350100, China.
Diabetol Metab Syndr. 2022 May 12;14(1):70. doi: 10.1186/s13098-022-00842-9.
Diabetic foot is one of the most serious and painful chronic complications of diabetic patients, especially elderly diabetic patients. It has a high rate of death, disability and amputation. Obstructive sleep apnea (OSA) is a treatable chronic sleep disorder. Existing evidence suggests that OSA may promote the development and delay the healing of diabetic foot, and continuous positive airway pressure therapy may promote the healing of ulcers. Therefore, in the multidisciplinary diagnosis and treatment of diabetes, cooperation with sleep medicine should be strengthened, and the basic and clinical research on diabetic foot combined with OSA should be strengthened, so as to reduce the amputation rate, improve the cure rate and reduce the incidence of cardiovascular events.
糖尿病足是糖尿病患者尤其是老年糖尿病患者最严重且痛苦的慢性并发症之一。其致死、致残及截肢率很高。阻塞性睡眠呼吸暂停（OSA）是一种可治疗的慢性睡眠障碍。现有证据表明，OSA可能会促进糖尿病足的发展并延缓其愈合，持续气道正压通气治疗可能会促进溃疡愈合。因此，在糖尿病的多学科诊疗中，应加强与睡眠医学的合作，加强糖尿病足合并OSA的基础及临床研究，以降低截肢率、提高治愈率并减少心血管事件的发生率。
