2014年浙江省湖州市吴兴区农村居民高血压合并糖尿病患病情况及危险因素分析  

Prevalence of hypertension complicated with diabetes and risk factors among rural residents in Wuxing of Huzhou,Zhejiang

作　　者：庞月红[1] 沈建勇[2] 潘琴琴[1] 孔艺锟 唐倩[1] 

机构地区：[1]吴兴区疾病预防控制中心,浙江吴兴313000 [2]湖州市疾病预防控制中心,浙江吴兴313000

出　　处：《疾病监测》2015年第9期765-769,共5页Disease Surveillance

摘　　要：目的了解浙江省湖州市吴兴区农村居民高血压合并糖尿病患病情况及其危险因素,为制定防治策略提供科学依据。方法采用两阶段随机抽样方法对湖州市吴兴区4230名农村居民进行问卷调查、体格检查和实验室检测。选择其中高血压合并糖尿病患者作为病例组,选择单纯高血压患者作为对照组,对高血压合并糖尿病患者患病情况和其危险因素进行分析。结果调查对象高血压、糖尿病以及高血压合并糖尿病调查患病率和复杂加权患病率分别为23.76%、5.98%、3.17%和14.21%、3.78%、1.81%。高血压患者中患糖尿病和糖尿病患者中患高血压比例分别为13.33%和52.96%。高血压合并糖尿病患病率女性高于男性,与年龄呈正相关,与文化程度呈负相关,且55岁以上人群患病率增幅明显高于高血压和糖尿病。多因素logistic回归分析显示,糖尿病家族史、体质指数、总胆固醇是高血压合并糖尿病的危险因素。结论应进一步重视农村地区高血压、糖尿病以及高血压合并糖尿病的防控工作,多应用具体事例开展更具针对性的健康教育工作。对高血压患者,应在积极控制血压和肥胖的同时,重视空腹血糖、血脂等指标的监测,并在高血压合并糖尿病药物预防和治疗方面进一步加强医防合作。Objective To investigate the prevalence of hypertension complicated with diabetes and risk factors among rural residents in Wuxing district of Huzhou,Zhejiang province,and provide scientific evidence for developing prevention and control strategies. Methods Tw o stage random sampling method was used to select subjects in rural area in Wuxing. The questionnaire survey,physical examination and laboratory tests were conducted among the subjects. The subjects with hypertension and diabetes were used as the case group,and the subjects with only hypertension were used as control group. Results The prevalence and complex weighted computation prevalence of hypertension,diabetes and hypertension complicated with diabetes were 23. 76%,5. 98%,3. 17% and 14. 21%,3. 78%,1. 81% respectively.The prevalence of diabetes in hypertension patients and the prevalence of hypertension in diabetes patients were 13. 33%and 52. 96%. The prevalence of hypertension complicated with diabetes in females was higher than that in males,and was positively correlated with the age and negatively correlated with the educational level. The increase in the prevalence of hypertension complicated diabetes was obvious than that of hypertension and diabetes in age group 55 year. Logistic regression analysis showed that blood sugar level,family history of diabetes,BM I and cholesterol level were risk factors. Conclusion More attention should be paid to prevention and control of hypertension,diabetes and hypertension complicated with diabetes in rural areas. Targeted health education should be conduced. For hypertension patients,it is necessary to pay attention to blood pressure and BM I control,blood glucose level and cholesterol level monitoring.Integrated prevention and treatment of hypertension complicated with diabetes should be strengthened.

关 键 词：农村居民 糖尿病合并高血压 患病率 危险因素 

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