陈霞, 沈姚, 陶敏亚, 许向东. 嘉定区2型糖尿病并发高血压病治疗现状分析[J]. 心脏杂志, 2015, 27(2): 175-178,185. DOI: 10.13191/j.chj.2015.0052
    引用本文: 陈霞, 沈姚, 陶敏亚, 许向东. 嘉定区2型糖尿病并发高血压病治疗现状分析[J]. 心脏杂志, 2015, 27(2): 175-178,185. DOI: 10.13191/j.chj.2015.0052
    CHEN Xia, SHEN Yao, TAO Min-ya, XU Xiang-dong. Analysis of treatment status of patients with type 2 diabetes complicated with hypertension in Jiading District,Shanghai[J]. Chinese Heart Journal, 2015, 27(2): 175-178,185. DOI: 10.13191/j.chj.2015.0052
    Citation: CHEN Xia, SHEN Yao, TAO Min-ya, XU Xiang-dong. Analysis of treatment status of patients with type 2 diabetes complicated with hypertension in Jiading District,Shanghai[J]. Chinese Heart Journal, 2015, 27(2): 175-178,185. DOI: 10.13191/j.chj.2015.0052

    嘉定区2型糖尿病并发高血压病治疗现状分析

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

    • 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 2diabetes 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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