NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, KẾT QUẢ ĐA KÝ HÔ HẤP VÀ MỘT SỐ YẾU TỐ LIÊN QUAN MỨC ĐỘ NẶNG CỦA NGƯNG THỞ KHI NGỦ DO TẮC NGHẼN Ở BỆNH NHÂN ĐỒNG MẮC ĐÁI THÁO ĐƯỜNG TYPE 2 VỚI TĂNG HUYẾT ÁP

Abstract

Background: Obstructive sleep apnea (OSA) is a treatable chronic sleep disorder characterized by episodes of complete or partial obstruction of the upper airway, occurring in 56% of patients with type 2 diabetes and 53.1% of patients with hypertension. There have been no studies on sleep apnea in patients with both conditions, so research on this group of subjects is essential. Objectives: 1) To describe the clinical characteristics and respiratory polygraphy of obstructive sleep apnea in patients with type 2 diabetes and hypertension; 2) To investigate some factors related to the severity of obstructive sleep apnea in patients with type 2 diabetes and hypertension. Materials and method: Randomized study of 90 patients diagnosed with Type 2 Diabetes and co-existing hypertension and treated at the Department of Internal Medicine, Can Tho University of Medicine and Pharmacy Hospital from October 2023 to June 2024. Results: Mean age was 70.1± 9.8 years, female was 73.3%. In the group with obstructive sleep apnea, obesity 35.2%, neck circumference 35.7±3.4 cm, waist circumference 93.7±11 cm, daytime sleepiness 88.9%, mean AHI 18.1±15.2/hour, mean ODI 20.5±15.4/hour. In the severe OSA group, the neck circumference was 37.5±3.1 cm, and obesity was 66.7%. Conclusions: Patients with type 2 diabetes and hypertension have OSA commonly experience daytime sleepiness, obesity, and a larger neck circumference. Obesity and increased neck circumference are also associated with the severity of OSA in this group.