摘要
分析652例糖耐量异常人群高血压发病的危险因素,结果显示伴高血压病家族史者高血压的患病率显著高于不伴高血压病家族史者(91.7%及12.6%)。多因素Logistic逐步回归分析表明,阳性高血压病家族史是本组人群最重要的致高血压病危险因素(OR117.2,95%CI68.1~201.6)。年龄、体重指数和尿微量白蛋白也与高血压呈显著正相关。提示在高血压防治中对伴高血压病家族史的糖耐量异常人群应予以特别的注意,而着意减肥和更严格地控制血糖、防止糖尿病肾病发生可能是该人群高血压预防的有效措施。
The risk factors of hypertention in 652 subjects with impaired glucose tolerance were stud-ied. The results showed that the prevalence of hypertension in those with positive family history of hyper-tension(FHHPT) was more than in those without FHHPT. Multivariate stepwise logistic regression analy-sis demonstrated FHHPT was the most important risk factor of hypertention (OR 117. 2, 95%CI 68. l ~201. 6)in the population studied. Other variables such as age,boby mass index and urine microalbumin ex-cretion were also positively associated with hypertension. It suggested much attention should be paid to thesubjects with both FHHPT and impaired glucose tolerance in the prevention of hypertension. Strict controlof plasma glucose level and preduction of overweight aiming at prevention of diabetic nephropathy might bethe effective meassures in the prevention of hypertension in this population.
出处
《中国糖尿病杂志》
CAS
CSCD
1998年第4期198-200,共3页
Chinese Journal of Diabetes
关键词
家族史
高血压
糖耐量异常
糖尿病
Famile history Hypertension Impaired glucose tolerance