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The Relationship between Diabetic Neuropathy and Sleep Apnea Syndrome: A Meta-Analysis

机译：糖尿病神经病与睡眠呼吸暂停综合症的关系：荟萃分析

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Aims. High prevalence of sleep apnea syndrome (SAS) has been reported in patients with diabetes. However, whether diabetic neuropathy (DN) contributes to this high prevalence is controversial. Our aim of this study is to compare the prevalence of SAS between patients with and without DN.Methods. Systematic literature searches were conducted for cross-sectional studies that reported the number of patients with DN and SAS using MEDLINE (from 1966 to Nov 5, 2012) and EMBASE (from 1974 to Nov 5, 2012). Odds ratios (ORs) of SAS related to DN were pooled with the Mantel-Haenszel method.Results. Data were obtained from 5 eligible studies (including 6 data sets, 880 participants, and 429 cases). Overall, the pooled OR of SAS in patients with DN compared with that in non-DN patients was significant (OR (95% CI), −1.95 (1.03–3.70)). The pooled OR of SAS was 1.90 (0.97–3.71) in patients with type 2 diabetes. Excluding data on patients with type 1 diabetes, a higher OR was observed in younger patients (mean age <60 years) than in those ≥60 years among whom the OR remained significant (3.82; 95% CI, 2.24–6.51 and 1.17; 95% CI, 0.81–1.68).Conclusions. Current meta-analysis suggested the association of some elements of neuropathy with SAS in type 2 diabetes. Further investigations are needed to clarify whether the association is also true for patients with type 1 diabetes.
机译：目的糖尿病患者中睡眠呼吸暂停综合症（SAS）的患病率较高。然而，糖尿病性神经病（DN）是否有助于这种高患病率仍存在争议。本研究的目的是比较有无DN的患者之间SAS的患病率。进行了系统的文献检索以进行横断面研究，这些研究报告了使用MEDLINE（从1966年至2012年11月5日）和EMBASE（从1974年至2012年11月5日）报告的DN和SAS患者的数量。用Mantel-Haenszel方法汇总了与DN相关的SAS的赔率（OR）。数据来自5项合格研究（包括6个数据集，880名参与者和429例病例）。总体而言，与非DN患者相比，DN患者的SAS合并OR显着（OR（95％CI），-1.95（1.03-3.70））。 2型糖尿病患者的SAS合并OR为1.90（0.97–3.71）。排除1型糖尿病患者的数据，年轻患者（平均年龄<60岁）的OR值高于≥60岁且OR仍显着的患者（3.82; 95％CI，2.24-6.51和1.17; 95） ％CI，0.81–1.68）。结论。当前的荟萃分析表明，2型糖尿病的神经病变与SAS相关。需要进一步研究以明确这种关联是否也适用于1型糖尿病患者。

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