社区老年人糖尿病合并高血压风险预测模型的构建研究  

A study on the construction of a prediction model for the risk of diabetes with hypertension among the elderly in the community

作　　者：梁伟灿 方培婉 钟秋雄 梁志升 潘伟森 LIANG Wei-can;FANG Pei-wan;ZHONG Qiu-xiong(Department of Prevention and Health Care,The Fourth People's Hospital of Nanhai District,Foshan 528211,China)

机构地区：[1]佛山市南海区第四人民医院预防保健科,528211 [2]佛山大学医学部,528000 [3]佛山市南海区西樵镇社区卫生服务中心预防保健科,528211 [4]佛山市南海区疾病预防控制中心疾控科,528200

出　　处：《中国实用医药》2025年第4期34-37,共4页China Practical Medicine

摘　　要：目的了解社区老年人糖尿病合并高血压的现状,筛查社区老年人高血压合并糖尿病的影响因素,拟合诊断预测模型,为社区卫生机构个体化筛查此类多重慢性病及风险预测提供新方法。方法回顾性选取380例老年糖尿病患者,其中合并高血压(合并高血压组)150例,非合并高血压(非合并高血压组)230例。收集患者基本信息[年龄、性别、婚姻情况、文化程度、吸烟史、家族病史、体质量指数(BMI)],通过单因素及多因素Logistic回归分析社区老年人糖尿病合并高血压的影响因素。结果单因素分析结果显示,合并高血压组与非合并高血压组的年龄、性别、婚姻情况、文化程度、吸烟史、家族病史、BMI比较,差异显著(P<0.05)。Logistic回归分析结果显示,年龄[OR=2.059,95%CI=(1.034,4.094)]、性别[OR=1.927,95%CI=(1.054,3.524)]、婚姻情况[OR=2.526,95%CI=(1.003,4.680)]、文化程度[OR=2.051,95%CI=(1.094,3.846)]、吸烟史[OR=1.566,95%CI=(1.063,2.306)]、家族病史[OR=2.162,95%CI=(1.153,4.053)]、BMI[OR=1.654,95%CI=(1.007,2.716)]是社区老年人糖尿病合并高血压的独立危险因素(P<0.05)。结论年龄、性别、婚姻情况、文化程度、吸烟史、家族病史、BMI均是社区老年人糖尿病合并高血压的危险因素,在社区健康管理中,应重点关注这些因素以提高老年人生活质量。Objective To understand the current status of diabetes with hypertension among the elderly in the community,screen the influencing factors of hypertension with diabetes,fit the diagnosis and prediction model,and provide a new method for individualized screening of such multiple chronic diseases and risk prediction in community health institutions.Methods 380 elderly patients with diabetes were retrospectively selected,including 150 cases with comorbid hypertension(comorbid hypertension group)and 230 cases with non-comorbid hypertension(non-comorbid hypertension group).Basic information[age,gender,marital status,education level,smoking history,family medical history,and body mass index(BMI)]of patients was collected,and factors influencing diabetes with hypertension among the elderly in the community were analyzed by univariate and multivariate Logistic regression.Results Univariate analysis showed that there were significant differences in age,gender,marital status,educational level,smoking history,family medical history and BMI between the comorbid hypertension group and the non-comorbid hypertension group(P<0.05).Logistic regression analysis showed that age[OR=2.059,95%CI=(1.034,4.094)],gender[OR=1.927,95%CI=(1.054,3.524)],marital status[OR=2.526,95%CI=(1.003,4.680)],education level[OR=2.051,95%CI=(1.094,3.846)],smoking history[OR=1.566,95%CI=(1.063,2.306)],family medical history[OR=2.162,95%CI=(1.153,4.053)],BMI[OR=1.654,95%CI=(1.007,2.716)]were independent risk factors for diabetes mellitus with hypertension among the elderly in the community(P<0.05).Conclusion Age,gender,marital status,education level,smoking history,family medical history and BMI are all risk factors for diabetes with hypertension among the elderly in the community;these factors should be focused on in community health management to improve the quality of life of the elderly.

关 键 词：社区 老年人 糖尿病合并高血压 危险因素 风险预测模型 

分 类 号：R54[医药卫生—心血管疾病]