睡眠障碍及其干预对2型糖尿病患者血糖水平的影响(1)
摘要 目的：分析睡眠障碍及其干预对2型糖尿病患者血糖水平的影响。方法：选取2017年3月至2019年3月中国人民解放军第6905工厂职工医院内科收治的糖尿病患者100例作为研究对象，根据匹兹堡睡眠質量指数(PSQI)评分分为对照组(非睡眠障碍组，n=30)和观察组(睡眠障碍组，n=70)。比较2组患者的各项血糖指标PSQI评分。按照不同的干预方式将观察组患者分为观察组A和观察组B，每组35例。观察组A组患者采取常规的糖尿病护理干预，观察组B组患者在常规护理的基础上给予睡眠干预，比较2组患者的各项血糖指标与PSQI评分。结果：对照组患者的FPG、HbAlc、FBG-CV、MBG以及LAGE等血糖指标均低于观察组患者，2组比较差异有统计学意义(P<0.05);观察组A和观察组B患者在干预后的各项血糖指标与PSQI评分均有明显下降(P<0.05)，其中观察组B患者的各项指标下降程度均优于观察组A(P<0.05)。结论：睡眠障碍是影响2型糖尿病患者血糖水平的因素之一，可导致患者的血糖增高、血糖波动增大。对患者的睡眠障碍进行有效的护理干预可提高患者的睡眠质量，从而改善患者的各项血糖指标。
关键词 睡眠障碍;2型糖尿病;血糖水平
Analysis of Sleep Disorder and Its Intervention on Blood Sugar Level in Patients with Type 2 Diabetes Mellitus
Li Changzhi
(Department of Internal Medicine，Worker′s Hospital，No.6905 Factory of the Chinese People′s Liberation Army，Chongqing 400700，China)
Abstract Objective：To analyze the effects of sleep disorder and its intervention on blood glucose level in patients with type 2 diabetes mellitus.Methods：From March 2017 to March 2019 treated 100 cases of diabetic patients as research object，according to the Pittsburgh sleep quality index(PSQI)score divided the patients into control group(not sleep disorder group，n=35)and observation group(sleep disorder group，n=35)，30 patients with control group，observation group for 70 cases，compared two groups of the patient′s level of each index.Patients in observation group were divided into observation group A(n=35)and observation group B(n=35)according to different intervention methods.Patients in observation group A received routine diabetes care intervention，and patients in observation group B received sleep intervention on the basis of routine care.Blood glucose indexes and PSQI scores of patients in the two groups were compared.Results：The blood glucose indexes such as FPG，HbAlc，fbg-cv，MBG and LAGE of patients in control group were lower than those in observation group，and the differences were significant(P<0.05).Comparing the blood glucose index and PSQI score of patients in observation group Aand observation group B before and after treatment，it was found that the blood glucose index and PSQI score of patients in both groups were significantly decreased after intervention(P<0.05)，and the decline degree of each index of patients in observation group B was better than that of patients in observation group A(P<0.05).Conclusion：Sleep disturbance is one of the factors affecting blood glucose level in patients with type 2 diabetes，which may lead to increased blood glucose and increased blood glucose fluctuation.Effective intervention on patients′ sleep disorders can improve the sleep quality of patients and thus improve the blood glucose index of patients., http://www.100md.com(李长志)
关键词 睡眠障碍;2型糖尿病;血糖水平
Analysis of Sleep Disorder and Its Intervention on Blood Sugar Level in Patients with Type 2 Diabetes Mellitus
Li Changzhi
(Department of Internal Medicine，Worker′s Hospital，No.6905 Factory of the Chinese People′s Liberation Army，Chongqing 400700，China)
Abstract Objective：To analyze the effects of sleep disorder and its intervention on blood glucose level in patients with type 2 diabetes mellitus.Methods：From March 2017 to March 2019 treated 100 cases of diabetic patients as research object，according to the Pittsburgh sleep quality index(PSQI)score divided the patients into control group(not sleep disorder group，n=35)and observation group(sleep disorder group，n=35)，30 patients with control group，observation group for 70 cases，compared two groups of the patient′s level of each index.Patients in observation group were divided into observation group A(n=35)and observation group B(n=35)according to different intervention methods.Patients in observation group A received routine diabetes care intervention，and patients in observation group B received sleep intervention on the basis of routine care.Blood glucose indexes and PSQI scores of patients in the two groups were compared.Results：The blood glucose indexes such as FPG，HbAlc，fbg-cv，MBG and LAGE of patients in control group were lower than those in observation group，and the differences were significant(P<0.05).Comparing the blood glucose index and PSQI score of patients in observation group Aand observation group B before and after treatment，it was found that the blood glucose index and PSQI score of patients in both groups were significantly decreased after intervention(P<0.05)，and the decline degree of each index of patients in observation group B was better than that of patients in observation group A(P<0.05).Conclusion：Sleep disturbance is one of the factors affecting blood glucose level in patients with type 2 diabetes，which may lead to increased blood glucose and increased blood glucose fluctuation.Effective intervention on patients′ sleep disorders can improve the sleep quality of patients and thus improve the blood glucose index of patients., http://www.100md.com(李长志)