医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
10期
111-111
,共1页
高血压%糖代谢异常%空腹血糖%餐后血糖
高血壓%糖代謝異常%空腹血糖%餐後血糖
고혈압%당대사이상%공복혈당%찬후혈당
Hypertension%Abnormal Glucose Metabolism%Fasting Plasma Glucose%Post blood Glucose
目的：了解本社区居民糖代谢异常情况，尽早采取干预措施。方法回顾性分析2010年本社区1510例既往无糖代谢异常病史居民的体检资料，根据有无高血压病史分为高血压组和非高血压组，对两组空腹及餐后血糖检查结果作对比分析。结果高血压组检出糖代谢异常132例（43.6%），其中单纯空腹血糖升高4例（1.3%）、单纯餐后血糖升高112例（37.0%）、空腹及餐后血糖均升高16例（5.3%）；非高血压组共检出糖代谢异常272例（22.5%），其中单纯空腹血糖升高8例（0.7%）、单纯餐后血糖升高236例（19.5%）、空腹及餐后血糖均升高28例（2.3%）。高血压组糖代谢异常的总患病率、单纯餐后血糖升高患病率、空腹及餐后血糖均升高患病率高于非高血压组，差异有统计学意义(P＜0.05)；高血压组单纯空腹血糖升高患病率与非高血压组的差异无统计学意义(P＞0．05)。结论应充分重视高血压人群的餐后血糖监测，以便尽早发现并管理高血压患者潜在的糖代谢异常，降低心脑血管并发症的发生率。
目的：瞭解本社區居民糖代謝異常情況，儘早採取榦預措施。方法迴顧性分析2010年本社區1510例既往無糖代謝異常病史居民的體檢資料，根據有無高血壓病史分為高血壓組和非高血壓組，對兩組空腹及餐後血糖檢查結果作對比分析。結果高血壓組檢齣糖代謝異常132例（43.6%），其中單純空腹血糖升高4例（1.3%）、單純餐後血糖升高112例（37.0%）、空腹及餐後血糖均升高16例（5.3%）；非高血壓組共檢齣糖代謝異常272例（22.5%），其中單純空腹血糖升高8例（0.7%）、單純餐後血糖升高236例（19.5%）、空腹及餐後血糖均升高28例（2.3%）。高血壓組糖代謝異常的總患病率、單純餐後血糖升高患病率、空腹及餐後血糖均升高患病率高于非高血壓組，差異有統計學意義(P＜0.05)；高血壓組單純空腹血糖升高患病率與非高血壓組的差異無統計學意義(P＞0．05)。結論應充分重視高血壓人群的餐後血糖鑑測，以便儘早髮現併管理高血壓患者潛在的糖代謝異常，降低心腦血管併髮癥的髮生率。
목적：료해본사구거민당대사이상정황，진조채취간예조시。방법회고성분석2010년본사구1510례기왕무당대사이상병사거민적체검자료，근거유무고혈압병사분위고혈압조화비고혈압조，대량조공복급찬후혈당검사결과작대비분석。결과고혈압조검출당대사이상132례（43.6%），기중단순공복혈당승고4례（1.3%）、단순찬후혈당승고112례（37.0%）、공복급찬후혈당균승고16례（5.3%）；비고혈압조공검출당대사이상272례（22.5%），기중단순공복혈당승고8례（0.7%）、단순찬후혈당승고236례（19.5%）、공복급찬후혈당균승고28례（2.3%）。고혈압조당대사이상적총환병솔、단순찬후혈당승고환병솔、공복급찬후혈당균승고환병솔고우비고혈압조，차이유통계학의의(P＜0.05)；고혈압조단순공복혈당승고환병솔여비고혈압조적차이무통계학의의(P＞0．05)。결론응충분중시고혈압인군적찬후혈당감측，이편진조발현병관리고혈압환자잠재적당대사이상，강저심뇌혈관병발증적발생솔。
Objective Clear the importance of postprandial blood glucose screening in patients with hypertension, screening out potential abnormal glucose metabolism. Methods Summarized 1,510 cases of the community medical information without history of abnormal glucose metabolism in 2010,be divided into hypertension group (303 cases) and non-hypertensive group (1207 cases) according to whether hypertension,comparative analysis FPG and PBG of two groups. Results (1) Hypertension group were detected abnormal glucose metabolism in 132 cases (43.6%),Of which 4 cases of FPG increased only (1.3%), 112 cases of PPG increased only (37.0%), 16 cases of FPG and PBG both increased (5.3%); (2) Non-hypertensive group were detected abnormal glucose metabolism in 272 cases (22.5%),Of which 8 cases of FPG increased only (0.7%), 236 cases of PPG increased only (19.5%), 28 cases of FPG and PBG both increased (2.3%);(3) Hypertension group overal prevalence of abnormal glucose metabolism、prevalence of PPG increased only、prevalence of FPG and PBG both increased were higher than the non-hypertensive group,dif erence was statistical y significant (P<0.05);Dif erence of the prevalence of FPG increased only was not statistical y significant (P>0.05) Conclusion Should pay ful at ention to the postprandial blood glucose monitoring for community hypertension population,to enable early detection and management of abnormal glucose metabolism potential ,to reduce the incidence of cardiovascular and cerebrovascular complications.
