中国循证心血管医学杂志
中國循證心血管醫學雜誌
중국순증심혈관의학잡지
Chinese Journal of Evidence-Bases Cardiovascular Medicine
2015年
5期
625-627
,共3页
刘素珀%郭雪微%鲍艳江%刘东云%任骏%张连波%宋志鑫%张彩红%高永莉%马丽娟%郭茂林%鲍双
劉素珀%郭雪微%鮑豔江%劉東雲%任駿%張連波%宋誌鑫%張綵紅%高永莉%馬麗娟%郭茂林%鮑雙
류소박%곽설미%포염강%류동운%임준%장련파%송지흠%장채홍%고영리%마려연%곽무림%포쌍
糖尿病合并高血压%老年%危险因素
糖尿病閤併高血壓%老年%危險因素
당뇨병합병고혈압%노년%위험인소
Diabetes complicating hypertension%Elderly patients%Risk factors
目的：了解北京局部农村老年糖尿病合并高血压患者心脑血管危险因素和心脑肾并发症发生的情况。方法对北京市大兴区长子营地区60岁以上老年人进行问卷调查和查体，确诊糖尿病+高血压（T2DM+HP组）573例，单纯糖尿病（T2DM组）139例，同时选取正常查体者674例为对照组。通过问卷调查获得高血压、糖尿病和心脑肾并发症等情况，通过体格检查和实验室检查获得体质指数、血压、血糖、总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）、血尿酸（UA）、血肌酐（Cr）等数据。结果与对照组比较，T2DM+HP组血压、血糖、TC、TG、LDL-C、UA、Cr、体质指数、白细胞计数、血小板计数升高，HDL-C，差异有统计学意义（P均＜0.05）。与对照组相比，T2DM+HP组高TC、高TG、低HDL-C、高LDL-C、高UA、高Cr暴露水平是其1.737、3.851、2.498、1.868、2.466、2.546倍，同时肥胖率也明显升高，是对照组的3.426倍。与对照组和T2DM组比较，T2DM+HP组合并心、脑、肾脏疾病比例均升高，差异有统计学意义（P均＜0.05）。结论老年糖尿病合并高血压患者合并心脑血管危险因素比例增加，暴露水平升高，心脑肾并发症比例增加。
目的：瞭解北京跼部農村老年糖尿病閤併高血壓患者心腦血管危險因素和心腦腎併髮癥髮生的情況。方法對北京市大興區長子營地區60歲以上老年人進行問捲調查和查體，確診糖尿病+高血壓（T2DM+HP組）573例，單純糖尿病（T2DM組）139例，同時選取正常查體者674例為對照組。通過問捲調查穫得高血壓、糖尿病和心腦腎併髮癥等情況，通過體格檢查和實驗室檢查穫得體質指數、血壓、血糖、總膽固醇（TC）、三酰甘油（TG）、低密度脂蛋白膽固醇（LDL-C）、高密度脂蛋白膽固醇（HDL-C）、血尿痠（UA）、血肌酐（Cr）等數據。結果與對照組比較，T2DM+HP組血壓、血糖、TC、TG、LDL-C、UA、Cr、體質指數、白細胞計數、血小闆計數升高，HDL-C，差異有統計學意義（P均＜0.05）。與對照組相比，T2DM+HP組高TC、高TG、低HDL-C、高LDL-C、高UA、高Cr暴露水平是其1.737、3.851、2.498、1.868、2.466、2.546倍，同時肥胖率也明顯升高，是對照組的3.426倍。與對照組和T2DM組比較，T2DM+HP組閤併心、腦、腎髒疾病比例均升高，差異有統計學意義（P均＜0.05）。結論老年糖尿病閤併高血壓患者閤併心腦血管危險因素比例增加，暴露水平升高，心腦腎併髮癥比例增加。
목적：료해북경국부농촌노년당뇨병합병고혈압환자심뇌혈관위험인소화심뇌신병발증발생적정황。방법대북경시대흥구장자영지구60세이상노년인진행문권조사화사체，학진당뇨병+고혈압（T2DM+HP조）573례，단순당뇨병（T2DM조）139례，동시선취정상사체자674례위대조조。통과문권조사획득고혈압、당뇨병화심뇌신병발증등정황，통과체격검사화실험실검사획득체질지수、혈압、혈당、총담고순（TC）、삼선감유（TG）、저밀도지단백담고순（LDL-C）、고밀도지단백담고순（HDL-C）、혈뇨산（UA）、혈기항（Cr）등수거。결과여대조조비교，T2DM+HP조혈압、혈당、TC、TG、LDL-C、UA、Cr、체질지수、백세포계수、혈소판계수승고，HDL-C，차이유통계학의의（P균＜0.05）。여대조조상비，T2DM+HP조고TC、고TG、저HDL-C、고LDL-C、고UA、고Cr폭로수평시기1.737、3.851、2.498、1.868、2.466、2.546배，동시비반솔야명현승고，시대조조적3.426배。여대조조화T2DM조비교，T2DM+HP조합병심、뇌、신장질병비례균승고，차이유통계학의의（P균＜0.05）。결론노년당뇨병합병고혈압환자합병심뇌혈관위험인소비례증가，폭로수평승고，심뇌신병발증비례증가。
Objective To survey the cardiovascular and cerebrovascular risk factors and complications of heart, brain and kidney in elderly patients with type 2 diabetes mellitus (T2DM) complicating hypertension in Beijing local rural area.Methods The questionnaire survey and physical examination were carried out in elderly persons aged over 60 in Zhangziying area of Beijing Daxing District, and 573 cases were diagnosed with T2DM and hypertension (T2DM+HP group) and 139 cases diagnosed with only T2DM (T2DM group). At the same time 674 cases with normal physical examination were chosen as control group. The incidence of hypertension, diabetes and complications of heart, brain and kidney were investigated by using questionnaire, and data of body mass index (BMI), blood pressure (BP), plasma glucose, TC, TG, LDL-C, HDL-C, BUA and Cr were detected through physical and laboratory examinations.Results The levels of BP, plasma glucose, TC, TG, LDL-C, BUA, Cr, BMI, WBC and platelet count increased, and HDL-C decreased in T2DM+HP group compared with control group (allP<0.05). In T2DM+HP group, TC (1.737 times), TG (3.851 times), LDL-C (1.868 times), UA (2.466 times), Cr (2.546 times) and obesity rate (3.426 times) increased and HDL-C (2.498 times) decreased compared with control group. The percentage of patients with complications of heart, brain and kidney increased in T2DM+HP group compared with control group and T2DM group (allP<0.05).Conclusion The risk factors of complications of heart, brain and kidney increase in elderly patients with T2DM complicating hypertension.
