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目的:探讨睡眠质量干预对老年2型糖尿病患者血糖控制的影响。方法:入选住院老年2型糖尿病具有睡眠质量问题的患者67例,入院后1周内完成第一次问卷调查及相关资料收集并根据匹兹堡睡眠质量指数(PSQI)量表将患者进行评分,对患者进行综合睡眠干预120天后再次对同一患者行二次问卷调查、相关资料收集及评分。结果:合并睡眠质量障碍的2型糖尿病患者睡眠质量干预前与干预后空腹血糖(8.11±2.74)mmol/L比(7.23±1.96)mmol/L.t=3.52;糖化血红蛋白(HbAl c 7.13±1.64)%比(6.53±0.81)%,t=3.36;睡眠质量评分(9.13±3.33)分比(7.64±2.33)分,t=5.24。影响空腹血糖改善与否的多元logistic回归分析显示,PSQI改善差值为影响空腹血糖改善与否的因素(OR=1.96,P<0.05 95%CI 1.37-2.79)。影响HbAlc改善与否的多元logistic回归分析显示PSQI改善差值为影响HbAlc改善与否的因素(OR=2.01,P<0.05 95%CI 1.38[2.92)。
Objective: To investigate the effect of sleep quality intervention on blood glucose control in elderly type 2 diabetic patients. Methods: Sixty-seven patients were enrolled in hospitalized elderly patients with type 2 diabetes who had sleep quality problems. The first questionnaire and relevant data were collected within 1 week after admission. The patients were scored according to the Pittsburgh Sleep Quality Index (PSQI) scale. After 120 days of comprehensive sleep intervention, the same patient was asked again for the second questionnaire, relevant data collection and grading. Results: The fasting blood glucose (8.11 ± 2.74) mmol / L (7.23 ± 1.96) mmol / L before and after intervention in patients with type 2 diabetes mellitus complicated by sleep quality were significantly lower than those in patients with type 2 diabetes mellitus (HbAl c 7.13 ± 1.64)% (6.53 ± 0.81)%, t = 3.36; sleep quality score (9.13 ± 3.33) points (7.64 ± 2.33) points, t = 5.24. Multivariate logistic regression analysis, which affected the improvement of fasting blood glucose, showed that the improvement of PSQI was the factor influencing the improvement of fasting blood glucose (OR = 1.96, P <0.05 95% CI 1.37-2.79). Multivariate logistic regression analysis of whether HbAlc improved or not showed that improvement of PSQI was the factor influencing HbAlc improvement (OR = 2.01, P <0.05 95% CI 1.38 [2.92]).