蒙古族2型糖尿病患者高血压影响因素的分析  

The analysis of influencing factors for hypertension in Mongolian patients with type 2diabetes mellitus

作　　者：刘海萍[1] 刘跃辉 苏雅拉图[1] 格根塔那[1] 佟占杰[3] 白海花[1] 

机构地区：[1]内蒙古民族大学生命科学学院,通辽028000 [2]通辽市市医院急诊内科 [3]内蒙古民族大学附属医院医学检验科

出　　处：《中国糖尿病杂志》2015年第1期7-10,共4页Chinese Journal of Diabetes

基　　金：国家自然科学基金(81160101);内蒙古民族大学科研基金(MDX2010033)

摘　　要：目的探讨蒙古族T2DM患者高血压的影响因素。方法选取蒙古族T2DM患者523例,根据血压水平分为正常血压、高血压前期和高血压组。采用问卷调查、系统体检和多元线性回归分析进行研究。结果正常血压、高血压前期和高血压组年龄[(51.11±10.61)vs(51.34±10.20)vs(55.85±9.36)岁]、BMI[(24.76±4.74)vs(25.81±3.45)vs(26.58±3.66)kg/m2]、SBP[(105.69±10.50)vs(125.08±6.54)vs(158.67±23.80)mmHg]、DBP[(65.94±12.44)vs(75.43±8.41)vs(93.25±15.08)mmHg]、饮酒[15(23.44)vs 44(26.83)vs 118(40.00)]和口味偏甜[13(20.31)vs 23(14.02)vs 18(6.10)]两两比较差异有统计学意义(P<0.05或P<0.01),高血压组病程较高血压前期组长[4.0(0.5,6.0)vs 1.0(0.0,5.0)年,P<0.01],TG较正常血压组高[2.37(1.83,3.55)vs 2.14(1.63,3.14)mmol/L,P<0.01]。SBP与年龄、病程、BMI、HDL-C和饮酒呈正相关,与文化程度、口味偏甜呈负相关,DBP与年龄、病程、BMI、HDL-C和饮酒呈正相关,与性别、LDL-C和口味偏甜呈负相关。多元线性回归分析显示,年龄、病程、BMI、HDL-C、饮酒和口味偏甜是蒙古族T2DM患者SBP升高的影响因素,性别、年龄、BMI、HDL-C和口味偏甜是蒙古族T2DM患者DBP升高的影响因素。结论年龄、BMI、HDL-C和口味偏甜是蒙古族T2DM患者高血压的影响因素。Objective To investigate the influence factors for hypertension in Mongolian T2 DM patients. Methods 523 cases of Mongolian T2 DM patients were selected and divided into three groups of normal blood pressure,prehypertension and hypertension.The questionnaire,medical examination and multiple stepwise regression were conducted. Results While compared among three groups,there were statistical significance in age[（51.11±10.61）vs（51.34±10.20）vs（55.85±9.36）years],BMI[（24.76±4.74）vs（25.81±3.45）vs（26.58±3.66）kg/m^2],SBP [（105.69±10.50）vs（125.08±6.54）vs（158.67±23.80）mmHg],DBP [（65.94±12.44）vs（75.43±8.41）vs（93.25±15.08）mmHg],drinking[15（23.44）vs 44（26.83）vs 118（40.00）]and in preferences for sweet-tasting foods [13（20.31）vs 23（14.02）vs 18（6.10）]（P〈0.05 or P〈0.01）.Course was significantly higher in hypertension group than in prehypertension group[4.0（0.5,6.0）vs 1.0（0.0,5.0）years,P〈0.01].TG was significantly higher in hypertension group than in normal blood pressure group[2.37（1.83,3.55）vs 2.14（1.63,3.14）mmol/L,P0.01].SBP had a significantly positive correlation with age,course,BMI,HDL-C and drinking,and had a significantly negative correlation with the degree of culture,preferences for sweet-tasting foods.DBP had a significantly positive correlation with age,course,BMI,HDL-C and drinking,and had a significantly negative correlation with gender,LDL-C and preferences for sweet-tasting foods.Multiple linear regression analysis showed that age,course,BMI,HDL-C,drinking and preferences for sweet-tasting foods were influence factors for T2 DM patients with elevated SBP.Gender,age,BMI,HDL-C and preferences for sweet-tasting foods were influence factors for T2 DM with elevated DBP. Conclusion Age,BMI,HDL-C and preferences for sweet-tasting foods are influence factors for hypertensionin Mongolian patients with T2 DM.

关 键 词：蒙古族 糖尿病 2型 血压 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学]