Does Obstructive Sleep Apnoea Syndrome Influence the Development and Treatment of Diabetic Foot? A Brief Narrative Review.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2025-06-01 Epub Date: 2022-07-14 DOI:10.1177/15347346221113992
Evanthia Gouveri, Paschalis Steiropoulos, Nikolaos Papanas
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引用次数: 0

Abstract

Both obstructive sleep apnoea syndrome (OSAS) and diabetes mellitus (DM) are common conditions that often coexist and share many similar risk factors. Diabetic foot is a common complication of DM, which may lead to lower-limb amputation. OSAS is considered a risk factor for type 2 DM (T2DM). There is also evidence that OSAS may be linked with the development, as well as the healing of diabetic foot. Multiple mechanisms triggered by sleep fragmentation and intermittent hypoxaemia in OSAS could contribute to the development of diabetic foot ulcers (DFUs). More interestingly, emerging evidence implies a favourable impact of continuous positive airway pressure (CPAP) treatment on DFU healing. Healing DFUs and minimising recurrence rates remains a challenge for health care professionals. In this context, management of OSAS might prove a useful therapeutic adjunct for DFUS. However, data is still limited and randomised controlled trials are needed to further explore this interesting potential.

阻塞性睡眠呼吸暂停综合征会影响糖尿病足的发展和治疗吗?简述回顾。
阻塞性睡眠呼吸暂停综合症(OSAS)和糖尿病(DM)都是常见的疾病,两者经常并存,而且有许多相似的风险因素。糖尿病足是糖尿病的常见并发症,可能导致下肢截肢。OSAS 被认为是 2 型糖尿病(T2DM)的一个危险因素。也有证据表明,睡眠呼吸暂停可能与糖尿病足的发生和愈合有关。OSAS 中的睡眠碎片和间歇性低氧血症引发的多种机制可能会导致糖尿病足溃疡(DFU)的发生。更有趣的是,新出现的证据表明,持续气道正压(CPAP)治疗对糖尿病足溃疡的愈合有积极影响。治愈 DFU 并将复发率降至最低仍是医护人员面临的一项挑战。在这种情况下,OSAS 的治疗可能会被证明是 DFUS 的有效辅助治疗手段。然而,目前的数据仍然有限,需要进行随机对照试验来进一步探索这一有趣的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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