摘要
目的:探讨合肥市庐阳区高血压患者合并糖尿病的危险因素。方法:选取合肥市庐阳区2020年7-9月有完整病历记载或可以联系的高血压患者作为研究对象,共3183例。将合并糖尿病的高血压患者列为糖尿病组,共654例;将无糖尿病高血压患者列为无糖尿病组,共2529例。比较两组高血压患者心脑血管意外的发生情况,分析高血压患者出现糖尿病的危险因素。结果:糖尿病组既往有69例出现心脑血管意外,占比10.55%;无糖尿病组既往有153例出现心脑血管意外,占比6.05%;两组比较,差异有统计学意义(P<0.05)。糖尿病组有吸烟史、饮酒史、肥胖患者比例均高于无糖尿病组,差异有统计学意义(P<0.05)。肥胖、饮酒史、吸烟史、家族史均是高血压患者并发糖尿病的危险因素。结论:高血压患者合并糖尿病更容易发生心脑血管意外,肥胖、饮酒、吸烟、糖尿病家族史是高血压患者并发糖尿病的危险因素。
Objective: To investigate the risk factors of diabetes mellitus in hypertensive patients in Luyang District Hefei City.Methods: A total of 3183 hypertensive patients with complete medical records or who could be contacted from July to September 2020 in Luyang District, Hefei City were selected as the research subjects. Hypertensive patients with diabetes mellitus were included in the diabetes group, with a total of 654 cases;hypertensive patients without diabetes mellitus were included in the nondiabetic group, with a total of 2529 cases. The incidence of cardiovascular and cerebrovascular accidents in the two groups of hypertensive patients was compared, and the risk factors of diabetes in the hypertensive patients were analyzed. Results: There were 69 cases of cardiovascular and cerebrovascular accidents in the diabetes group, accounting for 10.55%. There were 153 cases of cardiovascular and cerebrovascular accidents in the non-diabetic group, accounting for 6.05%. Comparing the two groups, the difference was statistically significant(P<0.05). The proportion of patients with smoking history, drinking history and obesity in the diabetes group was higher than that in the non-diabetic group, and the difference was statistically significant(P<0.05). Obesity,drinking history, smoking history, and family history were all risk factors for diabetes in hypertensive patients. Conclusion:Hypertensive patients with diabetes are more likely to have cardiovascular and cerebrovascular accidents. Obesity, drinking,smoking, and family history of diabetes are risk factors for hypertension in patients with diabetes.
作者
杨庆生
Yang Qing-sheng(Hefei Center for Disease Control and Prevention,Anhui Province,Hefei 230061,Anhui Province,China)
出处
《中国社区医师》
2022年第26期154-156,共3页
Chinese Community Doctors
关键词
高血压
糖尿病
危险因素
Hypertension
Diabetes
Risk factors