高龄老年睡眠质量和睡眠时长与糖尿病关系的研究  

Relationship among sleep quality,sleep duration and diabetes in elderly patients

作　　者：郑虹 齐振波 徐杰[1] 臧亚楠 于新宇 于庆丰 崔娜 Zheng Hong;Qi Zhenbo;Xu Jie;Zang Yanan;Yu Xinyu;Yu Qingfeng;Cui Na(First Department of Geriatrics,the 960th Hospital of Chinese PLA Joint Logistics Support Force,Jinan 250031,China;不详)

机构地区：[1]中国人民解放军联勤保障部队第960医院干部病房一科,济南250031 [2]解放军71901部队卫生连,聊城252000 [3]中国人民解放军联勤保障部队第960医院超声诊断科,济南250031

出　　处：《中国循证心血管医学杂志》2024年第9期1044-1047,共4页Chinese Journal of Evidence-Based Cardiovascular Medicine

基　　金：中央军委后勤保障部保健专项课题(16BJZ50)。

摘　　要：目的探讨高龄老年睡眠质量和睡眠时长与糖尿病之间的关系。方法入选住院年龄≥80岁的112例患者为研究对象,其中2型糖尿病37例(糖尿病组),非糖尿病75例(对照组),使用匹兹堡睡眠质量指数问卷(PSQI)面对面调查患者睡眠情况,收集研究对象的基本信息、慢性病患病情况以及血糖、血脂等指标,采用Logistic回归模型评估患者睡眠质量、睡眠时长与糖尿病的关系。结果糖尿病组与对照组睡眠质量比较,PSQI总分、睡眠质量、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍指标得分差异有统计学意义(P<0.05)。不同睡眠质量组患者合并糖尿病史、夜间睡眠时长、总睡眠时长差异有统计学意义(P<0.05);不同睡眠时长组患者年龄、合并糖尿病史、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平以及入睡时间、总睡眠时长、PQSI得分差异均有统计学意义(P<0.05)。Logistic回归分析结果显示,在调整了混杂因素后,与睡眠质量好者(<7分组)相比,睡眠质量差(≥7分组)高龄老年患糖尿病风险更高(OR=5.429,95%CI:1.34~21.998,P<0.05);与睡眠时长≥6h的老年人相比,睡眠时长不足(<6h)的高龄老年人患糖尿病风险增高(OR=4.433,95%CI:1.78~11.038,P<0.05),调整混杂因素后,睡眠时长不足与高龄老年患糖尿病风险未见明显相关性(OR=1.839,95%CI:0.401~8.436,P>0.05)。结论高龄老年睡眠质量差(≥7分)与糖尿病的患病风险有相关性。Objective To discuss the relationship among sleep quality,sleep duration and diabetes in elderly patients.Methods The patients aged≥80(n=112)were chosen,and among them there 37 patients with type 2 diabetes mellitus(T2DM group)and 75 without T2DM(control group).The sleep status was surveyed face-to-face by using Pittsburgh Sleep Quality Index(PSQI),and basic data,conditions of chronic diseases and indexes of blood sugar and blood fat were collected in 2 groups.The relationship among sleep quality,sleep duration and diabetes was reviewed by using Logistic regression model.Results In comparison in sleep quality between 2 groups,the differences in the total score of PSQI,sleep quality,sleep time,sleep efficiency,sleep disorder,hypnotics and scores of daytime dysfunction index had statistical significance(P<0.05).The differences in complicated diabetes history,length of night sleep and the total sleep duration had statistical significance in groups with difference sleep quality(P<0.05).The differences in age,complicated diabetes history,levels of total cholesterol(TC)and low-density lipoprotein-cholesterol(LDL-C),sleep latency,the total sleep duration and PSQI scores had statistical significance in groups with difference sleep durations(P<0.05).The results of Logistic regression analysis showed that,after adjusting confounding factors,the risk of diabetes was higher in elderly patients with poor sleep(scores≥7)compared with that in those with good sleep(scores<7,OR=5.429,95%CI:1.34-21.998,P<0.05).The risk of diabetes was higher in elderly patients with sleep duration≥6 h was higher than that in those with sleep duration<6 h(OR=4.433,95%CI:1.78~11.038,P<0.05).After adjusting confounding factors,there was no significant correlation between diabetes risk and lack of sleep durationin elderly patients(OR=1.839,95%CI:0.401~8.436,P>0.05).Conclusion There is a correlation between lower sleep quality(scores≥7)and diabetes in elderly patients.

关 键 词：2型糖尿病 高龄老年 睡眠质量 睡眠时长 

分 类 号：R587.1[医药卫生—内分泌]