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Title:: Analysis of treatment status of patients with type 2 diabetes complicated with hypertension in Jiading District, Shanghai

作者:: 陈霞¹; 沈姚²; 陶敏亚²; 许向东¹; (上海市嘉定区：1.中心医院心血管内科，2.疾病预防控制中心，上海 201800)

Author(s):: CHEN Xia¹; SHEN Yao²; TAO Min-ya²; XU Xiang-dong¹; (1.Department of Cardiology, Central Hospital, Jiading District , Shanghai 201800, China；
2.Center for Disease Control and Prevention, Jiading District, Shanghai 201800, China)

关键词:: 糖尿病; 2型; 高血压; 原发性; 血压控制; 血糖控制

Keywords:: diabetes mellitus; essential hypertension; blood pressure

分类号:: R541.3

DOI:: -

文献标识码:: A

摘要:: 目的:了解嘉定区社区内2型糖尿病并发高血压病患者治疗现况。方法:采用多阶段分层随机抽样方法在4个街镇随机抽取423例2型糖尿病并发高血压病患者，开展问卷调查、体格检查和实验室检查。结果:在413例资料完整的患者中，降压药规则服药率为90.8%，血压控制率为26.9%；单独使用一种降压药的患者278例，占74.1%。降糖药规则服药率为86.9%，血糖控制率为69.4%。高胆固醇血症、左心室肥厚和下肢外周动脉病是血压控制不良的危险因素，患糖尿病年限长、不规律服用降糖药、高三酰甘油血症和低密度脂蛋白过高是血糖控制不良的危险因素。结论:该地区2型糖尿病并发高血压病患者规范服药率达86.9%以上，血糖控制率为69.4%，而血压控制率仅达26.9%，与血糖和血压控制相关的独立可控因素是高脂血症和不规则服药。

Abstract:: AIM:To investigate the treatment status of patients with type 2 diabetes complicated with hypertension in Jiading District, Shanghai. METHODS: A questionnaire and physical and laboratory examinations were conducted in 423 patients with type 2 diabetes complicated with hypertension. Patients were selected using multistage stratified random sampling method in four communities. RESULTS: In the 413 patients with complete data, 90.8% patients were undergoing treatment with antihypertensive drugs and the control rate of blood pressure was 26.9%. Two hundred and seventy-eight patients (71.4%) took only one type of antihypertensive drug; 86.9% patients had regular hypoglycemic drugs and blood glucose control rate was 69.4%. Hypercholesterolemia, left ventricular hypertrophy and peripheral arterial disease were risk factors for poor control of blood pressure, and long years of diabetes, irregular use of anti-diabetic drugs, hypertriglyceridemia and high low-density lipoprotein were risk factors for poor control of blood glucose. CONCLUSION: Standardized drug-taking rate in patients with type 2 diabetes complicated with hypertension in Jiading District is 86.9%. Blood glucose control rate is 69.4% but blood pressure control rate is only 26.9%. Hyperlipidemia and irregular drug taking are the independent controllable factors for blood pressure control and blood glucose control.

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嘉定区2型糖尿病并发高血压病治疗现状分析

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

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