摘要
目的探讨2型糖尿病合并高血压的危险因素。方法选取2017年3月至2018年3月在哈尔滨医科大学附属第一医院临床营养科就诊的3690例2型糖尿病患者作为研究对象,根据是否合并高血压将患者分为研究组(确诊2型糖尿病合并高血压,n=1700)和对照组(确诊2型糖尿病但未合并高血压,n=1990),采用问卷调查、体格检查和实验室检查对两组病例进行比较分析,采用Logistic回归分析糖尿病合并高血压的影响因素。结果Logistic回归分析结果显示,女性(OR=1.454,95%CI 1.196~1.768,P<0.001),未接受过营养教育(OR=4.732,95%CI 3.875~5.779,P<0.001),高体质指数(OR=2.048,95%CI 1.813~2.313,P<0.001),高龄(OR=1.041,95%CI 1.033~1.049,P<0.001),高尿酸(OR=1.713,95%CI 1.421~2.064,P<0.001),病程长(OR=1.240,95%CI 1.038~1.481,P=0.018),高肌酐(OR=1.247,95%CI 1.036~1.501,P=0.020),不良饮食习惯[鱼虾类(OR=1.419,95%CI 1.269~1.586,P<0.001)、烹调油(OR=1.246,95%CI 1.101~1.410,P<0.001)、食盐(OR=1.991,95%CI 1.766~2.245,P<0.001)、坚果摄入过量(OR=1.914,95%CI 1.733~2.114,P<0.001)]为危险因素,多食水果(OR=0.549,95%CI 0.491~0.614,P<0.001)为保护性因素。结论高血压是糖尿病的最常见并发症之一,加强糖尿病营养健康教育,促进膳食平衡能够有效减少糖尿病患者心血管事件的发生,提高患者的生活质量。
Objective To explore the risk factors of type 2 diabetes complicated with hypertension.Methods From Mar.2017 to Mar.2018,3690 patients with type 2 diabetes treated in the Department of Clinical Nutrition of the First Affiliated Hospital of Harbin Medical University were included in the study.According to the existence of combined hypertension,the patients were divided into a case group(diagnosed with type 2 diabetes combined with hypertension,n=1700)and a control group(diagnosed with type 2 diabetes but not combined with hypertension,n=1990).Questionnaire survey,physical examination and laboratory examination were used to compare the two groups.Logistic regression method was used to analyze the influencing factors of diabetes mellitus combining with hypertension.Results Logistic regression analysis results showed that female(OR=1.454,95%CI 1.196-1.768,P<0.001),no nutrition education(OR=4.732,95%CI 3.875-5.779,P<0.001),high body mass index(OR=2.048,95%CI 1.813-2.313,P<0.001),advanced age(OR=1.041,95%CI 1.033-1.049,P<0.001),high uric acid(OR=1.713,95%CI 1.421-2.064,P<0.001),long course of disease(OR=1.240,95%CI 1.038-1.481,P=0.018),high creatinine(OR=1.247,95%CI 1.036-1.501,P=0.020),poor diet[fish and shrimp(OR=1.419,95%CI 1.269-1.586,P<0.001),cooking oil(OR=1.246,95%CI 1.101-1.410,P<0.001),salt(OR=1.991,95%CI 1.766-2.245,P<0.001),excessive nut intake(OR=1.914,95%CI 1.733-2.114,P<0.001)]were risk factor,eating more fruits was a protective factor(OR=0.549,95%CI 0.491-0.614,P<0.001)Conclusion Hypertension is one of the most common complications of diabetes.Strengthening nutrition and health education and promoting dietary balance can effectively reduce the occurrence of cardiovascular events and improve the quality of life of the patients.
作者
徐欢
闫雅更
董凤丽
张琳
郭晓微
吕和
王红梅
XU Huan;YAN Yageng;DONG Fengli;ZHANG Lin;GUO Xiaowei;LYU He;WANG Hongmei(Department of Clinical Nutrition,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《医学综述》
2020年第10期2075-2080,共6页
Medical Recapitulate
关键词
糖尿病
高血压
膳食因素
危险因素
Diabetes
Hypertension
Dietary factors
Risk factors
