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糖尿病人群中各型高血压的分布情况及其影响因素研究

宋绍敏 吴寿岭 金成 王志彬 姚涛 董岩 周剑辉 李占杰 陆昆 阮晓兰 张晓辉 孙静

中国全科医学Issue(7):770-774,782,6.
中国全科医学Issue(7):770-774,782,6.DOI:10.3969/j.issn.1007-9572.2015.07.010

糖尿病人群中各型高血压的分布情况及其影响因素研究

Distribution and Influencing Factors of Various Types of Hypertension in Patients with Diabetes Mellitus

宋绍敏 1吴寿岭 2金成 2王志彬 1姚涛 1董岩 1周剑辉 1李占杰 1陆昆 1阮晓兰 1张晓辉 1孙静1

作者信息

  • 1. 063000 河北省唐山市,开滦总医院林西医院心血管内科
  • 2. 开滦总医院心血管内科
  • 折叠

摘要

Abstract

Objective To investigate the distribution of various types of hypertension in diabetic population and its influencing factors. Methods From Kailuan research data( ChiCTR -TNC -11001489 ), we selected 6 349 eligible cases of diabetes mellitus that conforms to the exclusion standard. The distribution of various types of hypertension in diabetic population was analyzed and logistic regression analysis was undertaken to investigate its influencing factors. Results (1) The prevalence of hypertension in the diabetic population was 51. 2%(3 252/6 349),male 52. 6%(2 798/5 318)and female 44. 0%(454/1 031). The prevalence of IDH,ISH and SDH was 8. 0%(508/6 349),12. 4%(790/6 349),30. 8%(1 954/6 349) respectively. (2)There was statistical significance(P﹤0. 05)in the difference between normotension group and hypertension group in terms of gender, average age, physical labor, smoking, alcohol drinking, salt consumption, physical exercise, systolic pressure,diastolic pressure,FPG,TG,TC,LDL,HDL,BMI,eGFR and hs-CRP. The logistic regression analysis showed that the influences of gender,average age,physical labor,smoking,alcohol drinking,FPG,TG,LDL,HDL,BMI and eGFR on diabetes mellitus complicated with hypertension were statistically significant ( P﹤0. 05 ) . ( 3 ) The differences among ISH group,IDH group and SDH group in terms of gender,physical labor,smoking,physical exercise,average age, systolic pressure,diastolic pressure,TG,TC,HDL,BMI,eGFR and hs-CRP were statistically significant(P ﹤0. 05);the differences among alcohol drinking, salt consumption, FPG and LDL were not statistically significant ( P≥0. 05 ) . The logistic regression analysis showed that the influences of average age,FPG,HDL,BMI and eGFR on patients with diabetes mellitus complicated with ISH were statistically significant ( P ﹤0. 05 );the influences of gender, alcoholic drinking, salt consumption,average age, TC, BMI, eGFR and hs-CRP on patients with diabetes mellitus complicated with IDH were statistically significant ( P ﹤ 0. 05 );the influences of gender, physical labor, smoking, alcoholic consumption, physical exercises,average age, FPG, TC, HDL, BMI and eGFR on patients with diabetes mellitus complicated with SDH were statistically significant(P﹤0. 05). Conclusion There is high prevalence of hypertension in patients with diabetes mellitus. For different types of hypertension in patients with diabetes mellitus,the influencing factors are different.

关键词

糖尿病/高血压/影响因素分析/横断面研究

Key words

Diabetes mellitus/Hypertension/Root cause analysis/Cross-sectional studies

分类

医药卫生

引用本文复制引用

宋绍敏,吴寿岭,金成,王志彬,姚涛,董岩,周剑辉,李占杰,陆昆,阮晓兰,张晓辉,孙静..糖尿病人群中各型高血压的分布情况及其影响因素研究[J].中国全科医学,2015,(7):770-774,782,6.

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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