2型糖尿病患者睡眠质量对口腔健康的影响

Effects of sleep quality on the oral health in type 2 diabetic patients

目的探讨睡眠质量对2型糖尿病患者口腔健康的影响，为促进2型糖尿病患者的口腔健康提供依据。方法采用便利抽样法，选取2017年3-6月于南京市2所三级甲等医院住院治疗的123例2型糖尿病患者为研究对象，采用中文版口腔健康影响程度量表（OHIP-14）、匹兹堡睡眠质量指数（PSQI）进行问卷调查。通过分层回归分析2型糖尿病患者睡眠质量与口腔健康的关系。结果2型糖尿病患者的PSQI总分为（7．72±3．42）分，睡眠障碍发生率为46．3％（PSQI≥8分）。OHIP．14总分为（11．84±8．62）分，睡眠障碍组OHIP-14总分和身体机能不适、疼痛与不适、心理不适、独立能力减弱维度得分分别为（13．93±8．94）、（3．82±2．85）、（4．68±2．54）、（1．47±2．07）、（3．95±3．68）分，除心理不适外，与非睡眠障碍组相比，睡眠障碍组的OHIP．14量表总分及各维度得分均差异有统计学意义（￡值分别为3．21、2．65、3．45、2．57；P〈0．05）。分层回归分析显示，睡眠质量是2型糖尿患者口腔健康的影响因素，能独立影响2型糖尿病患者口腔健康总变异的6．1％（P=0．024）。结论2型糖尿病患者睡眠障碍发生率较高，而睡眠障碍会对口腔健康产生不良影响。在临床工作中，医务人员应重视对2型糖尿病患者睡眠障碍的早期识别，及时采取措施改善患者的睡眠质量，以辅助促进患者的口腔健康。

Objective To explore the effect of sleep quality on the oral health in type 2 diabetic patients, and provide basis for the improvement of their oral health. Methods A total of 123 type 2 diabetic patients hospitalized in 2 Class m Grade A hospitals in Nanjing from March 2017 to June 2017 were recruited in this study using convenient sampling method. Data was collected through Oral Health Impact Profile （OHIP- 14） and Pittsburgh Sleep Quality Index （PSQI）. The correlation between sleep quality and oral health of type 2 diabetic patients was analyzed using hierarchical regression. Results The total PSQI score was （7.72 ± 3.42） and the incidence of sleep disorder with type 2 diabetic patients was 46.3% （PSQI ≥ 8）. The total OHIP-14 score was （11.84± 8.62）. In the sleep disorder group, the correlation score between the total OHIP-14 score and functional limitation, pain and discomfort, disability, handicap of independence were （13.93± 8.94）, （3.82 ± 2.85）, （4.68 ±2.54）, （1.47 ± 2.07）, （3.95 ± 3.68）. Compared to patients with good sleep quality, patients with sleep disorder had significantly higher OHIP-14 scores and factor scores except for psychological disability （t=3.21, 2.65, 3.45, 2.57; P 〈 0.05）. Hierarchical regression analysis indicated that sleep quality was positively relevant to oral health, which could explain 6.1% of the variance of research capacity （P=0.024）. Conclusions The incidence of sleep disorder is high in patients with type 2 diabetes and sleep disorder has a negative impact on oral health. Medical staff should pay more attention to the early identification of sleep disorders in patients with type 2 diabetes, and take timely measures to improve the sleep quality, so as to promote the oral health of patients.