广东省超重或肥胖2型糖尿病人群血压控制的现况调查  

A cross-sectional survey of blood pressure control in overweight or obese type 2 diabetic patients in Guangdong province

作　　者：程彦臻[1] 陈容平[1] 杨帆[1] 宋青青[1] 严婷[1] 陈立曙[2] 林少达[3] 梁干雄[4] 胡宝春[5] 朱志章[6] 蔡德鸿[1] 

机构地区：[1]南方医科大学珠江医院内分泌科,广州510282 [2]汕头大学医学院附属第二医院 [3]汕头大学医学院附属第一医院 [4]中山市人民医院 [5]武警广东省总队医院 [6]广州中医药大学第一附属医院

出　　处：《中华内科杂志》2013年第6期480-483,共4页Chinese Journal of Internal Medicine

基　　金：广东省肥胖及超重2型糖尿病现况调查专项基金（2011-DM-01）

摘　　要：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：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／m^2，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。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/m^2. 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.

关 键 词：糖尿病 2型 超重 肥胖症 血压 

分 类 号：R544[医药卫生—心血管疾病] R587[医药卫生—内科学] R589[医药卫生—临床医学]