The prevalence of poor sleep quality and its association with the risk of obstructive sleep apnea and restless legs syndrome in diabetic patients treated with cyanoacrylate glue for varicose veins,Sleep and Breathing

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The prevalence of poor sleep quality and its association with the risk of obstructive sleep apnea and restless legs syndrome in diabetic patients treated with cyanoacrylate glue for varicose veins
Sleep and Breathing ( IF 2.1 ) Pub Date : 2022-07-01 , DOI: 10.1007/s11325-022-02676-1
Hüseyin Demirtaş ₁ , İlknur Dolu ₂

Affiliation

Purpose

This study aimed to assess the prevalence of poor sleep quality and to describe its predictors in diabetic patients having chronic venous insufficiency and varicose veins treated with cyanoacrylate glue.

Methods

This single-center, prospective cohort study was conducted between March 2018 and March 2021. A total of 103 patients with diabetes mellitus and chronic venous insufficiency (CEAP classification at stages C3–C6) treated with cyanoacrylate glue for varicose veins were recruited. A questionnaire form, Pittsburg Sleep Quality Index, Berlin Questionnaire, and Diagnostic Criteria for Restless Legs Syndrome were used for data collection. A Doppler USG assessment was performed in the first clinical examination.

Results

Almost half of the participants had had diabetes mellitus for 10 years or more, and 52% had good glucose control. Among the study sample, 61% were poor sleepers, 47% of the participants were RLS positive, and 51% had a high risk of sleep apnea. RLS, HbA1c, and dressing at home had positive associations with poor sleep quality (p < 0.05) on the fifth day after the peripheral embolization. One month after the operation, participants had better sleep quality; however, there were no statistically significant differences between the assessments of RLS and the risk of OSA compared to the fifth day after the operation (p > 0.05).

Conclusions

This prospective study showed that restless legs syndrome, a high level of HbA1c, and dressed injection area of the skin are associated with poor sleep quality in patients with diabetes having chronic venous insufficiency and varicose veins treated with cyanoacrylate glue. Additionally, participants had better sleep quality 1 month after the peripheral embolization compared to the fifth day after the operation.

中文翻译：

使用氰基丙烯酸酯胶治疗静脉曲张的糖尿病患者睡眠质量差的患病率及其与阻塞性睡眠呼吸暂停和不宁腿综合征风险的关系

目的

本研究旨在评估睡眠质量差的患病率，并描述其在接受氰基丙烯酸酯胶治疗的慢性静脉功能不全和静脉曲张糖尿病患者中的预测因素。

方法

这项单中心、前瞻性队列研究于 2018 年 3 月至 2021 年 3 月期间进行。共招募了 103 名接受氰基丙烯酸酯胶治疗静脉曲张的糖尿病和慢性静脉功能不全（CEAP 分类为 C3-C6 期）患者。问卷、匹兹堡睡眠质量指数、柏林问卷和不宁腿综合征诊断标准用于数据收集。在第一次临床检查中进行了多普勒 USG 评估。

结果

几乎一半的参与者患有糖尿病 10 年或更长时间，52% 的参与者血糖控制良好。在研究样本中，61% 的人睡眠不好，47% 的参与者 RLS 阳性，51% 的人有睡眠呼吸暂停的高风险。在外周血栓塞术后第 5 天，RLS、HbA1c 和在家穿衣服与睡眠质量差呈正相关 ( p < 0.05)。手术后一个月，参与者的睡眠质量更好；然而，与术后第 5 天相比，RLS 和 OSA 风险的评估之间没有统计学差异（p > 0.05）。