北京市15个社区2型糖尿病患者合并高血压率及血压达标的调查
Prevalence of hypertension and blood pressure control rate in patients with type 2 diabetes mellitus in Beijing communities
秦明照 1袁申元 2傅汉菁 2万钢 3朱良湘 2张鸣晓 2卜祥雷 4张建东 5杜雪平6
作者信息
- 1. 100730 首都医科大学附属北京同仁医院干部医疗科
- 2. 100730 首都医科大学附属北京同仁医院内分泌科
- 3. 首都医科大学附属北京地坛医院病案统计科
- 4. 北京市朝阳区崔各庄社区卫生服务中心
- 5. 北京市朝阳区劲松社区卫生服务中心
- 6. 首都医科大学附属第六医院月坛社区卫生服务中心
- 折叠
摘要
目的 了解北京市社区2型糖尿病患者高血压的患病率、血压控制达标率.方法 2008年8月至2009年7月采用多极抽样方法与患者自愿原则,纳入北京市4个城区中15个社区卫生服务中心的2849例2型糖尿病患者为研究对象,行体格检查及相关的实验室检查.结果 2型糖尿病患者高血压的患病率为70.8％ (2016/2849).入组前已合并高血压者1966例,其中血压＜140/90 mm Hg(1mm Hg=0.133 kPa)者占54.8％ (1077/1966),血压达标(＜130/80 mm Hg)率17.8％(350/1966).血压达标与未达标者间TG、空腹血糖、腰围、糖化血红蛋白水平差异有统计学意义(F值分别为23.51、23.26、39.00和22.91,均P＜0.01).1198例行尿微量白蛋白检测,糖尿病合并高血压者较单纯糖尿病者尿微量白蛋白升高更多(P＜0.01).结论 北京社区2型糖尿病患者高血压的患病率较高,血压达标率低；应加强糖尿病合并高血压患者多重危险因素控制和有效的社区管理.
Abstract
Objective To survey the prevalence of hypertension and blood pressure control rate in patients with type 2 diabetes mellitus (T2DM) in Beijing communities.Methods Total 2849 patients with T2DM were selected by multi-stage sampling from 15 Beijing urban communities.The patients were surveyed with questionnaire,physical examination and laboratory tests were also performed.Results The prevalence of hypertension in T2DM patients was 70.8％ (2016/2849),and the patients with blood pressure ＜ 140/90mm Hg (1 mm Hg =0.133 kPa) accounted for 54.8％ (1077/1960).The rate of blood pressure control (＜ 130/80 mm Hg) was 17.8％ (350/1966); there were significantly difference in triglyceride,fasting glucose,waist circumference and glycosylated hemoglobin levels between patients with blood pressure controlled and those with blood pressure not controlled.Elevation of urinary albumin excretion rate was more common in T2DM patients with hypertension than that in T2DM patients without hypertension.Conclusions The prevalence of hypertension is high and the blood pressure control rate is low in T2DM patients of Beijingcommunities.Multi-risk factor control and effective community-based management for T2DM with hypertension should be emphasized.
关键词
社区卫生服务/糖尿病,2型/高血压/治疗结果Key words
Community health services/Diabetes mellitus, type 2/Hypertension/Treatment outcome引用本文复制引用
基金项目
首都医学发展科研基金(2007-1035)
出版年
2013
NETL
NSTL
维普
万方数据