高血压合并糖尿病及空腹血糖调节受损现况调查  

Investigation of hypertension complicated with diabetes and impaired fasting glucose regulation

作　　者：裴丽 马田田 张慧 PEI Li;MA Tian-tian;ZHANG Hui(Deprtment of General Practice,Hedong Community Health Service Centerin Tianjin,Tianjin 300182,P.R.China)

机构地区：[1]天津市河东区富民路街社区卫生服务中心,天津300182

出　　处：《社区医学杂志》2020年第14期982-985,共4页Journal Of Community Medicine

摘　　要：目的我国人口的老龄化日益严重,高血压、糖尿病等慢性非传染性疾病的发病率呈逐年上升趋势。本研究通过对高血压患者合并糖尿病或空腹血糖调节受损的分析,为高血压患者预防糖尿病的发生提供依据。方法采取整体抽样方法,于2015-01-01-12-31对天津市河东区富民路街辖区内>35岁的高血压患者2327例进行调查,通过社区预约和入户调查相结合的方式,以面对面访谈形式对调查对象进行问卷调查与体格检查,将结果记录入统一电子档案,对其资料进行分析。结果纳入调查的2327例高血压患者中患有糖尿病的共533例(22.9%),空腹血糖受损(impaired fasting glucose,IFG)者537例(23.1%);与IFG和空腹血糖正常的患者相比,患有糖尿病的高血压患者心脏疾病的发生率高(χ^2=5.732,P=0.019)、脑卒中的发生率高(χ^2=10.326,P=0.006),高血压病程长(F=4.188,P=0.000)、体质量指数高(F=2.828,P=0.005);患有糖尿病、IFG的高血压患者锻炼优于空腹血糖正常的患者,差异有统计学意义,χ^2=9.175,P=0.010。理化检查方面,与IFG和糖尿病患者相比,空腹血糖正常患者的总胆固醇(F=6.912,P=0.001)、心率(F=8.840,P<0.001)和收缩压更低(F=6.367,P=0.002);空腹血糖正常患者的血清肌酐低于糖尿病患者(F=2.525,P=0.012),三酰甘油低于IFG患者(F=2.113,P=0.035)。随着高血压病程的增加,IFG和糖尿病的发生率呈上升趋势,差异有统计学意义,χ^2=19.078,P=0.004。结论原发性高血压合并IGR的患者早期进行干预,控制IFG、血脂、收缩压和心率,对预防糖尿病的发生有一定作用。OBJECTIVE With the aging of China’s population,the incidence of chronic non-communicable diseases such as hypertension and diabetes has been increasing year by year.Through the analysis of hypertensive patients with diabetes mellitus or impaired fasting blood glucose regulation,we aims to provide evidence for the prevention of diabetes mellitus in hypertensive patients.METHODS Using the overall sampling method,from January 1 to December 31,2015,2327 patients with hypertension over 35 years old in the Fumin Road Street Jurisdiction of Hedong District were investigated.Through a combination of community appointments and household surveys,aquestionnaire survey and physical examination was conducted on interviewees in the form of face-to-face interviews,and the results were recorded in a unified electronic file to analyze their data.RESULTS Of the 2327 hypertensive patients included in the survey,533 cases(22.9%)had diabetes and 537 cases(23.1%)had impaired fasting glucose(IFG).Compared to patients with normal IFG and fasting blood glucose,hypertensive patients with diabetes had longer course of hypertension(F=4.188,P<0.001),higher body mass index(F=2.828,P=0.005),higher incidences of heart disease(χ^2=5.732,P=0.019)and stroke(χ^2=10.326,P=0.006).Exercise in patients with diabetes and IFG hypertension was better than patients with normal fasting blood glucose,the difference was statistically significant,χ^2=9.175,P=0.010.Compared with IFG and diabetic patients,total cholesterol(F=6.912,P=0.001),heart rate(F=8.840,P<0.001)and systolic blood pressure(F=6.367,P=0.002)were lower in patients with normal fasting blood glucose.Serum creatinine in patients with normal fasting blood glucose was lower than that in diabetic patients(F=2.525,P=0.012),and triacylglycerol was lower than in IFG patients(F=2.113,P=0.035).With the increase of the course of hypertension,the incidence of IFG and diabetes showed an upward trend,the difference was statistically significant,χ^2=19.078,P=0.004.CONCLUSIONS Early intervention is needed

关 键 词：高血压 糖尿病 糖调节受损 天津市 

分 类 号：R544.1[医药卫生—心血管疾病]