广东省2型糖尿病超重及肥胖患者心血管危险因素现况与控制现状的调查  

The status of the controlling of cardiovascular risk factors in diabetic patients with overweight or obesity in Guangdong province

作　　者：陈容平[1] 王娇[1] 杨锐[1] 张振[1] 陈宏[1] 张如意[1] 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

出　　处：《中国糖尿病杂志》2014年第4期302-304,共3页Chinese Journal of Diabetes

基　　金：广东省肥胖和超重T2DM现况调查专项基金(2011-DM-01)

摘　　要：目的探讨广东省T2DM超重及肥胖患者心血管危险因素的现况与控制现状。方法 2011年8月至2012年3月,对广东省各地区二级以上医院门诊就诊及住院的已确诊T2DM超重及肥胖患者3056例行横断面调查。结果腹型肥胖、高血压、血脂异常及MS的患病率分别为84.8%、66.5%、87.8%和86.0%,肥胖患者患病率高于超重患者(P<0.05)。FPG和HbA1c控制达标率分别为40.6%和25.7%,BP控制达标率为23.9%,TG、LDL-C和HDL-C控制达标率分别为44.2%、31.9%和41.9%。超重患者较肥胖患者BP及TG达标率升高(P<0.05);超重和肥胖患者的FPG、HbA1c、HDL-C及LDL-C达标率差异均无统计学意义(P>0.05)。结论广东省T2DM超重及肥胖患者中MS、高血压、腹型肥胖及血脂异常等心血管危险因素的患病率高,血糖、BP及血脂的控制达标率低,迫切需要采取积极措施控制心血管危险因素。Objective To investigate the current condition and status of the controlling of cardiovascular risk factors in diabetic patients with overweight or obesity in Guangdong Province Methods A multicentric hospital-based cross-sectional study was carried out in 3056 cases of T2DM patients with overweight or obesity in Guangdong Province from August 2011 to March 2012.Results The total prevalence of central obesity,hypertension,dyslipidemia,and metabolic syndrome （MS） were 84.8%,66.5%,87.8%,and 86.0%,respectively.And all the prevalence in patients with obesity were dramatically higher than those in patients with overweight （P〈0.05）.The control rates of fasting glucose,HbA1c,blood pressure,TG,LDL-C and HDL-C were 40.6%,25.7%,23.9%,44.2%,31.9%,and 41.9%,respectively.The control rates of blood pressure and TG in patients with overweight were significantly higher than those in patients with obesity（P〈0.05）.However,the control rates of FPG,HDL-C and LDL-C were similar in patients with overweight and obesity.Conclusion Risk factors for cardiovascular diseases,such as metabolic syndrome,hypertension and dyslipidemia,are prevalent in T2DM patients with overweight/obesity.However,the control rate was low.Therefore,more attention should be paid to risk factors for cardiovascular disease in T2DM patients with overweight/obesity.

关 键 词：糖尿病 2型 超重 肥胖 心血管危险因素 患病率 达标率 

分 类 号：R589.2[医药卫生—内分泌] R587.1[医药卫生—内科学]