·糖尿病临床研究·　

　睡眠质量和2型糖尿病关系的调查调查

　　吴洪敏 娄培安 陈培培 张盼 陈娜 张宁 赵晶

　　【摘要】 目的 探索睡眠质量与T2DM的关系。 方法 采用多阶段整群随机抽样，抽取徐州市市区15岁及以上居民1877人。使用自行设计的问卷和匹兹堡睡眠质量指数量表，开展横断面调查。利用χ2检验或Z检验比较不同睡眠情况和不同疾病状况组的基本情况;通过Logistic回归，分析睡眠质量和T2DM的关系。 结果 徐州市市区居民T2DM的患病率为7.0%，睡眠质量差率为9.7%;糖尿病和非糖尿病患者匹兹堡睡眠质量量表各组份及总分比较，除入睡时间和催眠药物外，其他均有统计学意义(P<0.05);调整了年龄、性别、家族史、高血压史及BMI等多因素后，睡眠质量差对T2DM的OR值和95%置信区间分别为1.847(1.122～3.041)。　结论 睡眠质量差是T2DM的相关因素之一。

　　【关键词】睡眠质量;糖尿病，2型;现况调查

A cross-sectional study on the relationship between sleep quality and T2DM WU Hong-min, LOU Pei-an, CHEN Pei-pei, et al. Department of Public Health, Xuzhou Medical College, Xuzhou 221002,China.

Corresponding author: LOU Pei-an, E-mail: loupeian2004@yahoo.com.cn

　　【Abstract】 Objective To explore the relationship between sleep quality and T2DM. Methods Representative samples were selected with multi-stage randomized cluster sampling among urban inhabitants aged 15 years and older in Xuzhou areas and investigated with self-designed questionnaire and Pittsburgh sleep quality index scale. Comparisons between groups were carried out with χ2 test or t test for qualitative data and quantitative data respectively and Logistic regression was used for the analysis on the relationship between sleep quality and T2DM. Results The prevalence of T2DM was 7.0% and the poor sleep quality rate was 9.7% of the urban inhabitants in Xuzhou areas. Concerning the comparison between the diabetics and controls about the individual scores and total score, except two items (time for falling asleep and hypnosis drugs), other scores were all significantly different (P<0.05). After adjusted for age, gender, family disease history, history of hypertension, and body mass index (BMI), etc., the OR value and 95% confidence interval was 1.847 (1.122～3.041). Conclusion Poor sleep quality is one of the related factors for T2DM.

　　【Key words】 Sleep quality; Diabetes mellitus, type 2; Cross-sectional study