摘要
目的结合临床实践经验,调查南阳市区中老年人高血压合并糖尿病患病现状,并探讨导致其发病的相关影响因素。方法采用分层多阶段抽样方法,于2019年10月在南阳市区中对登记管理的40岁以上高血压患者人群进行问卷调查并进行生化检查、临床查体和实验室检查,比较高血压合并糖尿病患者947例和高血压患者980例临床指标的差异,并对相关因素进行单因素分析和多因素logistic回归分析。结果单因素分析结果显示,患者年龄、文化程度、体质量指数、高密度脂蛋白胆固醇(High-Density Lipoprotein-Cholesterol,HDL-C)、家庭收入、血压水平、低密度脂蛋白胆固醇(Low-Density Lipoprotein-Cholesterol,LDL-C)、血清肌酐、甘油三酯等均为影响老年人高血压合并糖尿病的相关危险因素,差异有统计学意义(P<0.01)。多因素logistic分析结果显示,年龄、文化程度、家庭收入、LDL-C、甘油三酯、血清肌酐是应影响高血压合并糖尿病患者发病的独立危险因素,差异有统计学意义(P<0.01)。结论南阳市区中老年人高血压合并糖尿病患病率较高,高血压合并糖尿病受到多种因素影响,年龄大、文化程度低、家庭收入低、LDL-C水平偏高高血压患者患糖尿病的风险更高,应加强对此类人群的关注,并适当采取干预措施。
Objective Combined with clinical experience,this study investigated the prevalence of hypertension and diabetes in middle-aged and elderly in the Nanyang urban area.The factors influencing the prevalence of hypertension complicated by diabetes were also evaluated.Methods A stratified multi-stage sampling method was used in October 2019 to administer a questionnaire survey,and biochemical,clinical physical,and laboratory examinations among hypertensive patients>40 years of age registered and managed in the Nanyang urban area.Differences in clinical indicators between hypertensive patients with diabetes(n=947)and hypertensive patients(n=980)were identified.The related factors were analyzed by univariate and multivariate logistic regression analyses.Results Univariate analysis showed that age,education level,body mass index,high-density lipoprotein-cholesterol,family income,blood pressure,low-density lipoproteincholesterol,serum creatinine,and triglycerides were all related risk factors for hypertension complicated by diabetes in the elderly;the differences were statistically significant(P<0.01).Conclusion The prevalence of hypertension complicated by diabetes in middle-aged and elderly people in Nanyang urban area was high,and affected by many factors.Hypertension patients at an advanced age,with a low education level,low family income,and high low-density lipoprotein-cholesterol level were at a higher risk for diabetes.Therefore,more attention should be paid to this group and appropriate intervention measures should be taken.
作者
南清红
刘飞
NAN Qing-hong;LIU Fei(Wancheng District Center for Disease Control and Prevention,Nanyang,Henan 473000,China;不详)
出处
《慢性病学杂志》
2022年第4期517-519,523,共4页
Chronic Pathematology Journal
关键词
高血压
糖尿病
影响因素
High blood pressure
Diabetes
Risk factors
