2型糖尿病患者的阻塞性睡眠呼吸暂停

IF 0.2 Q4 RESPIRATORY SYSTEM Egyptian Journal of Chest Diseases and Tuberculosis Pub Date : 2023-07-01 DOI:10.4103/ecdt.ecdt_14_23
N. Morsy, Amany E. Sheta, Mohammed El Desoky Abo Shehata, Raed El Metwally Ali, Hala Samaha
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Results The study included 125 T2DM Egyptian patients with a mean age of 54.63 ± 9.47 years. Males accounted for 35.2 percent of patients, while females accounted for 64.8%. According to the study of co-morbidity, hypertension constituted 77 (61.1%), ischemic heart disease 28 (22.4%), other cardiac diseases 11 (8.8%), bronchial asthma 6 (4.8%), liver diseases 6 (4.8%), hypothyroidism 3 (2.4%), and renal diseases 3 (2.4%). A total of seven patients (5.6%) had no OSA symptoms, 87 had borderline symptoms, and 31 had positive symptoms. There were 51 (40.8%) normal patients, 12 (9.6%) borderline patients, and 62 (49.6%) sleepy patients on the Epworth scale. According to the Stop-Bang questionnaire, 121 (96.8%) patients answered positively. It was determined that 122 patients (97.6%) were at high risk based on the Berlin questionnaire. There were 17 patients (13.6%) with OSA on polysomnography, of which six were moderate (35.3%) and 11 were severe (64.7%). 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引用次数: 0

摘要

目的本研究旨在确定埃及2型糖尿病患者OSA的患病率及危险因素。方法125例2型糖尿病患者就诊于曼苏拉大学附属医院(专科医院糖尿病门诊(OPC)和胸科睡眠障碍呼吸科),均接受病史调查,测量体重、身高、体质指数、颈围、扁桃体大小、Malampati评分、Friedman OSA评分、Epworth嗜睡量表(ESS)、Berlin问卷、STOP BANG问卷,通宵多导睡眠仪,禁食和餐后血糖。结果纳入埃及T2DM患者125例,平均年龄54.63±9.47岁。男性占35.2%,女性占64.8%。合并症中,高血压77例(61.1%),缺血性心脏病28例(22.4%),其他心脏病11例(8.8%),支气管哮喘6例(4.8%),肝脏疾病6例(4.8%),甲状腺功能减退3例(2.4%),肾脏疾病3例(2.4%)。无OSA症状7例(5.6%),边缘性症状87例,阳性症状31例。Epworth量表正常51例(40.8%),边缘12例(9.6%),困倦62例(49.6%)。根据Stop-Bang问卷,121例(96.8%)患者的回答是肯定的。根据柏林问卷,确定122例(97.6%)患者为高危人群。多导睡眠图显示OSA患者17例(13.6%),其中中度6例(35.3%),重度11例(64.7%)。在中度和重度OSA患者中,糖化血红蛋白水平差异显著。多因素logistic回归分析OSA的独立预测因素,慢性肾脏疾病是患者最常见的相关危险因素(OR = 14.3, CI= 1.2-67),其次是高血压(OR = 5.6,CI= 1.2-25.5)和心力衰竭(OR = 4.4)。结论13.6%的2型糖尿病高血压患者发生OSA的风险较高,慢性肾功能衰竭被认为是另一个危险因素,需要在埃及糖尿病患者中进行更大规模的研究来检测OSA的患病率
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Obstructive sleep apnea in type 2 diabetes mellitus patients
Objective The study aims to identify the prevalence and risk factors for OSA in a group of Egyptian patients with type 2 diabetes. Methods 125 type 2 diabetes mellitus patients visited Mansoura University Hospital (Diabetes Mellitus Outpatient Clinic (OPC) at Specialized Medical Hospital and the Sleep Disordered Breathing Unit of the Chest Department), all of them exposed to history taking, the patients underwent anthropometric measurements (weight, height, body mass index, neck circumference), a test of their tonsillar size, Malampati score, Friedman OSA score, Epworth sleepiness scale (ESS), Berlin questionnaire, STOP BANG questionnaire, full-night polysomnography, fasting, and postprandial blood sugar. Results The study included 125 T2DM Egyptian patients with a mean age of 54.63 ± 9.47 years. Males accounted for 35.2 percent of patients, while females accounted for 64.8%. According to the study of co-morbidity, hypertension constituted 77 (61.1%), ischemic heart disease 28 (22.4%), other cardiac diseases 11 (8.8%), bronchial asthma 6 (4.8%), liver diseases 6 (4.8%), hypothyroidism 3 (2.4%), and renal diseases 3 (2.4%). A total of seven patients (5.6%) had no OSA symptoms, 87 had borderline symptoms, and 31 had positive symptoms. There were 51 (40.8%) normal patients, 12 (9.6%) borderline patients, and 62 (49.6%) sleepy patients on the Epworth scale. According to the Stop-Bang questionnaire, 121 (96.8%) patients answered positively. It was determined that 122 patients (97.6%) were at high risk based on the Berlin questionnaire. There were 17 patients (13.6%) with OSA on polysomnography, of which six were moderate (35.3%) and 11 were severe (64.7%). Among moderate and severe OSA patients, glycosylated hemoglobin levels differed significantly. Multivariate logistic regression analysis for independent predictors of OSA, chronic renal disease patients is the most common associated risk factor (OR = 14.3, CI = 1.2–67) then hypertension (OR = 5.6,CI=1.2–25.5) and heart failure (OR = 4.4). Conclusions OSA affects 13.6% patients with type 2 diabetes patients who are hypertensive are at higher risk of OSA, chronic renal failure is considered another risk factorFurthers studies are needed on a big scale of Egyptian diabetic patients to detect the prevalence of OSA
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22 weeks
期刊介绍: The journal will cover technical and clinical studies related to health, ethical and social issues in field of The Egyptian Journal of Chest Diseases and Tuberculosis aims to publish and inform readers and all chest physicians of the progress in medical research concerning all aspect of chest diseases. Publications include original articles review articles, editorials, case studies and reports which are relevant to chest diseases. The Journal also aims to highlight recent updates in chest medicine. . Articles with clinical interest and implications will be given preference.
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