2型糖尿病合并阻塞性睡眠呼吸暂停低通气综合征老年患者血糖指标分析及护理  

Analysis of Blood Glucose Level of Elderly Patients with Type 2 Diabetes Mellitus and Obstructive Sleep Apnea-hypopnea Syndrome

作　　者：孙丽凯[1] 李丽萍[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院综合医疗科,湖北武汉430030

出　　处：《护理学报》2011年第13期24-25,共2页Journal of Nursing（China）

摘　　要：目的探讨2型糖尿病合并阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)的老年患者血糖代谢指标的水平及护理对策。方法根据89例老年2型糖尿病患者的睡眠呼吸监测结果,分为单纯2型糖尿病组和2型糖尿病合并OSAHS组,检测两组的空腹血糖、餐后2 h血糖、空腹C肽及糖化血红蛋白指标,比较组间差异。结果 2型糖尿病合并OSAHS患者空腹血糖、餐后2 h血糖、空腹C肽及糖化血红蛋白指标均较单纯糖尿病组明显升高,两组比较差异均有统计学意义(P<0.05)。结论合并OSAHS的老年2型糖尿病患者的血糖代谢指标高于单纯2型糖尿病老年患者,应早期筛查2型糖尿病患者是否合并OSAHS,及时给予治疗和护理干预。Objective To discuss the blood glucose level of elderly patients with type 2 diabetes mellitus and obstructive sleep apnea-hypopnea syndrome（OSAHS）.Methods Based on sleep-breath monitoring,patients were divided into type 2 diabetes mellitus group and type 2 diabetes mellitus accompanied with OSAHS group.Indicators such as fasting blood glucose,2 h postprandial glucose,fasting C-peptide level,glycohemoglobin were monitored.Results Patients with type 2 diabetes mellitus accompanied with OSAHS were with higher fasting blood glucose,2 h postprandial glucose,fasting C-peptide level and glycohemoglobin（P0.05）.Conclusion Patients with type 2 diabetes mellitus accompanied with OSAHS were with higher blood glucose level.Early screening should be performed in early stage of type 2 diabetes mellitus and comprehensive intervention is essential.

关 键 词：阻塞性睡眠呼吸暂停低通气综合征 糖尿病 2型 血糖监测 护理 

分 类 号：R473.5[医药卫生—护理学]