2型糖尿病合并高血压病患者的临床危险因素分析  

The clinical risk factors of type 2 diabetic patients with hypertension

作　　者：何海军[1] 葛震坤[1] 

机构地区：[1]含山县人民医院心血管内科,238100

出　　处：《安徽医学》2013年第7期926-928,共3页Anhui Medical Journal

摘　　要：目的观察和探讨2型糖尿病合并高血压病的临床危险影响因素。方法选取65例2型糖尿病合并高血压病患者作为观察组,同期选取60例单纯2型糖尿病患者作为对照组,详细测量并记录两组患者一般情况,包括身高、体质量、BMI、颈围、腰围、臀围、腰臀比,同时测定两组患者血脂水平及尿酸(UA)水平并进行比较。并对观察组患者不同级别高血压组其一般情况、血脂及UA水平进行分析比较。结果观察组患者BMI、腰臀比均明显高于对照组(P<0.05),观察组患者TG、TC、LDL-C、UA均明显高于对照组,HDL-C明显低于对照组,两组差异具有统计学意义(P<0.05)。结论 2型糖尿病合并高血压病的临床危险因素包括BMI、TG、TC、LDL-C及UA等,因此,对于2型糖尿病患者,在积极控制血糖的同时,积极控制患者的BMI,并重视生化指标的监测,对2型糖尿病合并高血压病患者具有重要意义。Objective To observe and explore the clinical impact of risk factors of type 2 diabetes and hypertension. Methods Six- ty - five patients with type 2 diabetic patients with hypertension were recruited as the observation group, and another 60 patients with diabetes were selected as the control group. The general situations of the two groups of patients were measured in detail and recorded, including height, weight, BMI, neck circumference, waist circumference, hip circumference, and waist - hip ratio, and the lipid levels and UA levels of the two groups were simultaneously determined and compared. Different levels of hypertension group in general, blood lipids and UA levels in the observation group were analyzed and compared. Results The body weight, BMI, neck circumference, waist circumference, hip circ- umference, waist - to - hip ratio in the observation group were significantly higher （ P 〈 0.05 ）, but there was no significant difference in the height of the two groups. The TG, TC, LDL - C, UA of patients in the observation group were significantly higher than those in the control, while HDL - C was significantly lower than that in the control, and the difference was statistically significant （ P 〈 0.05 ）. The grade of hy- pertension and weight, BMI, neck circumference, waist circumference, hip circumference, waist - hip ratio, TG, TC, LDL - C, UV, and other levels of patients were positively correlated （ P 〈 0.05 ）, while HDL - C was negatively correlated （ P 〈 0.05 ）. Conclusion The clini- cal risk factors for type 2 diabetes and hypertension are neck circumference, waist circumference, blood lipids and UA. Therefore, for pa- tients with type 2 diabetes, blood sugar should be actively controlled, and attention should also be paid to antihypertensive treatment and mo- nitoring of biochemical indicators of early diagnosis, which is important in the treatment of type 2 diabetes with high blood pressure.

关 键 词：2型糖尿病 高血压病 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]