2型糖尿病合并阻塞性睡眠呼吸暂停患者的综合管理现状  

Current integrated management of obstructive sleep apnea in patients with type 2 diabetes mellitus

作　　者：佘燕朝[1] 侯小妮[2] 王庆美[1] 

机构地区：[1]大连大学护理学院,116001 [2]北京中医药大学护理学院,100029

出　　处：《中华现代护理杂志》2016年第3期435-439,共5页Chinese Journal of Modern Nursing

摘　　要：阻塞性睡眠呼吸暂停（OSA）是常见的睡眠呼吸紊乱性疾病,且在2型糖尿病患者中发病率较高.睡眠呼吸暂停不仅加重患者的糖代谢紊乱,而且加速糖尿病并发症,尤其是微血管病变的发生.因此,在糖尿病患者甚至普通人群中筛查睡眠呼吸暂停并且选择合适的治疗方案对优化疗效及改善预后具有重要的意义.目前对2型糖尿病合并OSA患者进行治疗时应同时强调控制血糖与改善通气功能两个方面,主要治疗方案包括持续性气道正压通气治疗、使用胰岛素等制剂控制血糖水平、形成良好的睡眠习惯、减轻体质量以及外科矫形.Obstructive sleep apnea （ OSA） is a common disorder in upper respiratory tract, and high prevalent in patients with Type 2 Diabetes Mellitus （ DM-2 ） . OSA can lead to the development of glucose metabolism disorder and accelerate diabetic complications especially the microvascular. Screening for OSAS and selecting appropriate treatment is very important to optimize the efficacy and improve prognosis in patients with DM-2 and ordinary people. More effective strategy should target both controlling blood sugar and improving ventilation in OSA patients with DM-2. Current therapeutic regimens include： therapy of continuous positive airway pressure, controlling blood sugar with insulin, building good sleep habits, weight loss, and orthognathic surgery.

关 键 词：睡眠呼吸暂停 阻塞性 糖尿病  2型 综述文献 

分 类 号：R473[医药卫生—护理学]