■睡眠时间短和睡眠质量差是动脉粥样硬化的重要危险因素。使用测量睡眠参数的智能手环,如睡眠阶段,有助于确定睡眠质量对2型糖尿病患者下肢动脉粥样硬化的影响。
■探讨2型糖尿病患者睡眠障碍与下肢动脉粥样硬化的相关性。
■入院后,所有患者均接受下肢动脉超声检查,并根据结果分级为糖尿病下肢血管病变.使用智能手环来获取患者睡眠数据。睡眠模式与糖尿病下肢动脉粥样硬化的相关性,糖尿病足,并验证了各种代谢指标。
■在2021年8月至2022年4月之间,我们筛查了100名2型糖尿病患者,80人完成睡眠监测。单因素有序logistic回归分析显示睡眠评分低于76(OR=2.707,95CI:1.127-6.488),浅睡眠持续时间5.3小时或更多(OR=3.040,95CI:1.005-9.202),夜间清醒2.6次以上(OR=4.112,95CI:1.513-11.174),深度睡眠连续性评分低于70分(OR=4.141,95CI:2.460-615.674)的患者发生高级别下肢动脉粥样硬化的风险更大。多因素有序logistic回归分析显示,夜间清醒2.6例或以上(OR=3.975,95CI:1.297-12.182)的患者发生高度下肢动脉粥样硬化的风险较低。不同级别糖尿病下肢动脉粥样硬化患者的睡眠时间曲线呈U型。根据单向方差分析的结果,深度睡眠连续性得分越高,糖尿病足的Wagner量表评分越低(P<0.05)。
■睡眠障碍(长,浅睡眠持续时间,晚上经常觉醒,和深度睡眠的连续性差)可使2型糖尿病患者的下肢动脉粥样硬化恶化。这一发现可为医务人员预防和治疗糖尿病下肢血管病变提供新的方法。
UNASSIGNED: Short sleep duration and poor sleep quality are important risk factors for atherosclerosis. The use of smart bracelets that measure sleep parameters, such as sleep stage, can help determine the effect of sleep quality on lower-extremity atherosclerosis in patients with type 2 diabetes.
UNASSIGNED: To investigate the correlation between sleep disorders and lower-extremity atherosclerosis in patients with type 2 diabetes.
UNASSIGNED: After admission, all patients were treated with lower-extremity arterial ultrasound and graded as having diabetic lower-extremity vascular lesions according to the results. A smart bracelet was used to obtain the patient sleep data. The correlation between sleep patterns and diabetic lower-extremity atherosclerosis, diabetic foot, and various metabolic indices was verified.
UNASSIGNED: Between August 2021 and April 2022, we screened 100 patients with type 2 diabetes, with 80 completing sleep monitoring. Univariate ordered logistic regression analysis indicated that patients with a sleep score below 76 (OR = 2.707, 95%CI: 1.127-6.488), shallow sleep duration of 5.3 h or more (OR=3.040, 95 CI: 1.005-9.202), wakefulness at night of 2.6 times or more (OR = 4.112, 95%CI: 1.513-11.174), and a deep sleep continuity score below 70 (OR = 4.141, 95%CI: 2.460-615.674) had greater risk of high-grade lower limb atherosclerosis. Multivariate ordinal logistic regression analysis revealed that the risk of high-grade lower limb atherosclerosis was higher in patients with 2.6 or more instances of nighttime wakefulness (OR = 3.975, 95%CI: 1.297-12.182) compared with those with fewer occurrences. The sleep duration curve of patients with different grades of diabetic lower-extremity atherosclerosis was U-shaped. According to the results of the one-way analysis of variance, the higher the deep sleep continuity score, the lower the Wagner scale score for diabetic foot (P < 0.05).
UNASSIGNED: Sleep disorders (long, shallow sleep duration, frequent wakefulness at night, and poor continuity of deep sleep) can worsen lower limb atherosclerosis in patients with type 2 diabetes. This finding can provide a new method for medical professionals to prevent and treat diabetic lower-extremity vascular lesions.