内蒙古地区代谢综合征人群高血压及糖尿病的治疗及控制情况  

Treatment and control of hypertension and diabetes mellitus in a population with metabolic syndrome,Inner Mongolia

作　　者：闫文艳 李彦琦 包含 张星光 YAN Wen-yan;LI Yan-qi;BAO Han;ZHANG Xing-guang(School of Public Health,Inner Mongolia Medical University,Hohhot,Inner Mongolia 010000,China)

机构地区：[1]内蒙古医科大学公共卫生学院,内蒙古呼和浩特010000

出　　处：《现代预防医学》2023年第16期3054-3061,3072,共9页Modern Preventive Medicine

基　　金：自治区卫生健康科技项目(202201225);内蒙古医科大学科技百万工程项目(YKD2018KJBW017)。

摘　　要：目的调查内蒙古地区代谢综合征人群高血压、糖尿病的治疗及控制现状并评价及相关影响因素,旨在为心血管疾病防控工作提供信息参考。方法2015—2017于内蒙古地区采用多阶段分层整群抽样方法共纳入年龄在35~75岁之间的16411名研究对象。采用标准化问卷进行调查,包括基本信息、体格检查和实验室检测。基于第七次全国人口普查数据,采用直接标准化法分别计算高血压、糖尿病的标化治疗率、血压、血糖的标化控制率及其95%CI。采用logistic回归分析高血压、糖尿病的治疗及控制的相关影响因素。结果代谢综合征人群高血压、糖尿病的标化治疗率分别为46.7%、21.1%,血压、血糖的标化控制率分别为32.5%、45.7%。随年龄增长,高血压、糖尿病的治疗率呈上升趋势,而控制率呈下降趋势。超重(OR=0.77,95%CI:0.69~0.88)、肥胖(OR=0.40,95%CI:0.34~0.49)、农村(OR=0.77,95%CI:0.64~0.95)和合并≥4个组分(OR=0.57,95%CI:0.4~0.69)的代谢综合征人群中高血压、糖尿病患者接受血压、血糖治疗或得到控制的可能性较小,有医保(OR=1.58,95%CI:1.25~2.00)的高血压人群血压控制情况较好。结论代谢综合征人群高血压的治疗率、控制率与全国水平相比较好,但仍很低,糖尿病治疗率、控制率均低于全国水平。应加强高龄、超重或肥胖、居住于农村、合并3个以上代谢综合征组分人群的疾病防控,改善血压、血糖的控制率,最终降低代谢综合征人群心血管疾病的发生风险。Objective To investigate the current status of treatment and control of hypertension and diabetes mellitus in people with metabolic syndrome in Inner Mongolia and to evaluate the relevant influencing factors,with the aim of providing information for the prevention and control of cardiovascular diseases.Methods A total of 16411 study subjects aged between 35 and 75 years were included in Inner Mongolia from 2015 to 2017 using a multi-stage stratified whole-group sampling method.A standardized questionnaire was used for the survey,including basic information,physical examination and laboratory tests.Based on the data from the 7th National Population Census,the standardized treatment rates of hypertension and diabetes,the standardized control rates of blood pressure and blood glucose and their 95%CI were calculated separately using the direct standardization method.Logistic regression was used to analyse the factors influencing the treatment and control of hypertension and diabetes mellitus.Results The standardized treatment rates of hypertension and diabetes mellitus were 46.7%and 21.1%,and the standardized control rates of blood pressure and blood glucose were 32.5%and 45.7%,respectively,in people with metabolic syndrome.The treatment rate of hypertension and diabetes mellitus tended to increase with age,while the control rate tended to decrease.In the population with metabolic syndrome who were overweight(OR=0.77,95%CI:0.69-0.88),obese(OR=0.40,95%CI:0.34-0.49),rural(OR=0.77,95%CI:0.64-0.95)and combined with≥four components(OR=0.57,95%CI:0.47-0.69)hypertension,diabetics were less likely to receive blood pressure and glucose treatment or to be controlled,and those with medical insurance(OR=1.58,95%CI:1.25-2.00)had better blood pressure control in the hypertensive population.Conclusion The treatment and control rates for hypertension in the metabolic syndrome population are relatively good compared with national levels,but are still very low,and the treatment and control rates for diabetes are lower than national

关 键 词：内蒙古 高血压 糖尿病 代谢综合征 治疗 控制 

分 类 号：R587.1[医药卫生—内分泌] R544.1[医药卫生—内科学]