CAJ | 학술논문

目的　探讨2型糖尿病患者高血压患病情况以及有关影响因素。方法　根据WHO 1985年糖尿病诊断标准，11 700例血压、体重、腰臀围资料完整的1997～1998年广东省糖尿病流行病学调查人群，分析正常糖耐量、糖耐量低减和糖尿病患者的高血压患病情况。结果　糖尿病患者高血压患病率为44.9%，是糖耐量正常者的3.4倍。糖尿病伴肥胖(BMI≥27)者高血压患病率高达54.0%。Logistic回归分析提示腹部肥胖(腰臀围比，WHR)、糖尿病和BMI增加是高血压患病的独立危险因素。结论　2型糖尿病患者的高血压患病较非糖尿病者明显增高，尤其是伴有肥胖者，其原因可能与胰岛素抵抗有关。
목적　탐토2형당뇨병환자고혈압환병정황이급유관영향인소。방법　근거WHO 1985년당뇨병진단표준，11 700례혈압、체중、요둔위자료완정적1997～1998년광동성당뇨병류행병학조사인군，분석정상당내량、당내량저감화당뇨병환자적고혈압환병정황。결과　당뇨병환자고혈압환병솔위44.9%，시당내량정상자적3.4배。당뇨병반비반(BMI≥27)자고혈압환병솔고체54.0%。Logistic회귀분석제시복부비반(요둔위비，WHR)、당뇨병화BMI증가시고혈압환병적독립위험인소。결론　2형당뇨병환자적고혈압환병교비당뇨병자명현증고，우기시반유비반자，기원인가능여이도소저항유관。
Objective　To investigate prevalence of type 2 diabetes mellitus associated with hypertension and its risk factors in the population of Guangdong Province. Methods　11 700 residents aged 20 years and over in 14 areas, including urban and rural, were studied using WHO (1985) criteria of diabetes mellitus and impaired glucose tolerance. Results　The prevalence of hypertension among diabetics in this population was 44.9%. It was 3.4 times higher than subject with normal glucose tolerance. The prevalence of hypertension in type 2 diabetic patients associated with obesity (BMI≥27) were 54.0%, significantly higher than non-obese diabetic patients. Multiple logistic stepwise regression analysis showed that WHR (waist/hip ratio), diabetes mellitus, BMI were independent risk factors for hypertension. Conclusion　The prevalence of hypertension in higher in diabetic patients than in non-diabetic subjects. It is more predominant in diabetics with obesity, probably due to insulin resistance.