中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2013年
6期
480-483
,共4页
程彦臻%陈容平%杨帆%宋青青%严婷%陈立曙%林少达%梁干雄%胡宝春
程彥臻%陳容平%楊帆%宋青青%嚴婷%陳立曙%林少達%樑榦雄%鬍寶春
정언진%진용평%양범%송청청%엄정%진립서%림소체%량간웅%호보춘
糖尿病,2型%超重%肥胖症%血压
糖尿病,2型%超重%肥胖癥%血壓
당뇨병,2형%초중%비반증%혈압
Diabetes mellitus,type 2%Overweight%Obesity%Blood pressure
目的 了解广东省超重或肥胖2型糖尿病人群血压的控制情况及影响因素.方法 采用多中心横断面调查方法,2011年8月至2012年3月选取在广东省4大地区20个城市60家医院门诊及住院的2型糖尿病合并超重或肥胖成人患者进行问卷调查,采集人口学资料、疾病史、用药情况,并进行体格检查及实验室检测.结果 本研究共纳入4029例患者,年龄(58.9±12.9)岁,体重指数(27.28±2.76) kg/m2,血压达标率为23.8％,多因素logistic分析显示,高龄、肥胖、既往高血压病史、血糖控制不佳是血压不达标的独立危险因素.合并高血压者使用1种降压药的占53.5％,使用2种者占32.5％,使用≥3种者占11.3％.结论 广东省超重或肥胖2型糖尿病人群血压控制不理想,应积极采取生活方式干预、药物治疗等综合管理方式,降低心血管事件.
目的 瞭解廣東省超重或肥胖2型糖尿病人群血壓的控製情況及影響因素.方法 採用多中心橫斷麵調查方法,2011年8月至2012年3月選取在廣東省4大地區20箇城市60傢醫院門診及住院的2型糖尿病閤併超重或肥胖成人患者進行問捲調查,採集人口學資料、疾病史、用藥情況,併進行體格檢查及實驗室檢測.結果 本研究共納入4029例患者,年齡(58.9±12.9)歲,體重指數(27.28±2.76) kg/m2,血壓達標率為23.8％,多因素logistic分析顯示,高齡、肥胖、既往高血壓病史、血糖控製不佳是血壓不達標的獨立危險因素.閤併高血壓者使用1種降壓藥的佔53.5％,使用2種者佔32.5％,使用≥3種者佔11.3％.結論 廣東省超重或肥胖2型糖尿病人群血壓控製不理想,應積極採取生活方式榦預、藥物治療等綜閤管理方式,降低心血管事件.
목적 료해광동성초중혹비반2형당뇨병인군혈압적공제정황급영향인소.방법 채용다중심횡단면조사방법,2011년8월지2012년3월선취재광동성4대지구20개성시60가의원문진급주원적2형당뇨병합병초중혹비반성인환자진행문권조사,채집인구학자료、질병사、용약정황,병진행체격검사급실험실검측.결과 본연구공납입4029례환자,년령(58.9±12.9)세,체중지수(27.28±2.76) kg/m2,혈압체표솔위23.8％,다인소logistic분석현시,고령、비반、기왕고혈압병사、혈당공제불가시혈압불체표적독립위험인소.합병고혈압자사용1충강압약적점53.5％,사용2충자점32.5％,사용≥3충자점11.3％.결론 광동성초중혹비반2형당뇨병인군혈압공제불이상,응적겁채취생활방식간예、약물치료등종합관리방식,강저심혈관사건.
Objective To investigate the current situation and influential factors of blood pressure (BP) control in type 2 diabetic patients with overweight or obesity in Guangdong province.Methods From August 2011 to March 2012,type 2 diabetic patients with overweight or obesity were recruited from 60 hospitals in 20 cities of Guangdong province,and received standard questionnaires.The conditions of demographic data,clinical examinations,the most recent laboratory assessment,history of disease and drug therapy were recorded.Results A total of 4029 patients were collected with age of (58.9 ± 12.9) years,and body mass index (BMI) of (27.28 ± 2.76) kg/m2.Among the participants,controlled BP was achieved in 23.8％ patients.Multiple logistic regression analysis showed that older age,obesity,previous history of hypertension and inadequate glycemic control were the independent factors related to unsatisfactory blood pressure control rate.Among the patients with hypertension,53.5％ took 1 kind of antihypertensive drug,32.5％ took two,and 11.3％ took three or more.Conclusions Type 2 diabetic patients with overweight or obesity in Guangdong province have poor BP control.Thus,active lifestyle interventions and drug therapy as a comprehensive management way should be taken for the population so as to reduce their cardiovascular events.
