探究糖尿病患者睡眠质量与空腹血糖值的相关性

Exploration of the Relevance Between Sleep Quality and Fasting Plasma Glucose Value of Diabetes Patients

目的:探讨糖尿病患者睡眠质量与空腹血糖值的相关性。方法:采用回顾性方法分析,选取2015年3月至2018年3月泉州医学高等专科学校附属人民医院收治的糖尿病患者262例,采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)调查问卷,根据PSQI得分分为睡眠质量良好组,与睡眠质量较差组,其中睡眠质量良好组120例,睡眠质量较差组142例,通过Logistic回归分析糖尿病患者睡眠质量与空腹血糖值的关系。结果:睡眠质量良好组的空腹血糖(7.12±1.45)mmol/L、餐后2 h血糖(11.32±2.56)mmol/L、Hb A1c水平(8.34±2.01)%均低于睡眠质量较差组(10.45±1.01、13.01±2.13、9.67±2.03),其差异有统计学意义(P<0.05)。PSQI评分>5分是影响糖尿病患者空腹血糖、餐后2 h血糖的危险因素。结论:糖尿病患者睡眠质量与空腹血糖值密切相关,改善睡眠质量,延长睡眠时间,并适当午休,做好预防控制。

Objective:To explore the relevance between sleep quality and fasting plasma glucose value of diabetes patients.Methods:The clinical datas of 262 patients with diabetes in our hospital from March 2015 to March 2018 selected in the study were analysed by the method of retrospective analysis and questionnaired by Pittsburgh sleep quality index(PSQI).All patients were divided into good sleep quality group(120 cases)and poor sleep quality group(142 cases)according to the PSQI scores,and the relevance between sleep quality and fasting plasma glucose value of diabetes patients were analyzed by Logistic regression analysis.Results:The fasting plasma glucose value of good sleep quality group was(7.12±1.45)mmol/L,the 2 hours postprandial blood glucose was(11.32±2.56)mmol/L,HbA1c level was(8.34±2.01)%,which were lower than those(10.45±1.01、13.01±2.13、9.67±2.03)in poor sleep quality group,and the difference was statistically significant(P<0.05).PSQI score>5 was the risk factors effecting the fasting plasma glucose value and the blood sugar 2 hours after meal.Conclusion:Diabetic patients sleep quality is closely related to fasting plasma glucose value,.People should improve sleep quality,prolong sleep time and appropriately take lunch break,to prevente and control diabetes.