江西省九江市老年高血压患者的糖尿病患病情况调查分析

Prevalence of Diabetes in Elderly Patients with Hypertension in Jiujiang

目的对江西省九江市老年高血压患者的糖尿病患病情况进行调查分析。方法选取2013年1—6月在江西省九江市居住的1 507例老年高血压患者,根据糖尿病的诊断标准对其进行诊断,并对糖尿病患病率与年龄、BMI以及性别之间的关系展开研究。结果在1 507例老年高血压患者中共有248例患有糖尿病,患病率为16.46%（248/1 507）。其中男性患病率为16.28%（128/786）,女性为16.64%（120/721）,男女患病率比较,差异无统计学意义（P〉0.05）。不同年龄段患者间糖尿病患病率比较,差异有统计学意义（P〈0.05）,其中76～81岁〉69～75岁〉62～68岁（P〈0.05）。不同BMI患者间糖尿病患病率比较,差异有统计学意义（P〈0.05）,其中〉26.8 kg/m2高于23.8～26.8 kg/m2高于19.3～23.7 kg/m2（P〈0.05）。结论江西省九江市老年高血压患者的糖尿病患病率较高,高龄、高BMI可能是引发糖尿病的危险因素,针对危险因素进行有效的预防是降低糖尿病发病率、提高生活质量的重要途径。

Objective To analysis the prevalence of diabetes in elderly patients with hypertension in Jiujiang. Methods 1 507 cases of elderly hypertensive patients from January to June in 2013 in Jiujiang were diagnosed by diagnostic criteria for diabetes. The relationship of diabetes with age,BMI and hypertension was analysed. Results 248 patients had diabetes,the prevalence rate was 16. 46%（ 248 /1 507）. The prevalence rate of male was 16. 28%（ 128 /786）,female was 16. 64%（ 120/721）,there was no significant difference between two groups（ P〈0. 05）. The prevalence rate of diabetes in different age showed significant difference（ P〈0. 05）,76 to 81 years 〉69 to 75 years〉 62 to 68 years（ P〈0. 05）. The prevalence rate of diabetes in different BMI showed significant difference（ P〈0. 05）,〉 26. 8 kg / m^2 was higher than 23. 8 to 26. 8 kg / m^2,higher than 19. 3 to 23. 7 kg / m^2（ P〈0. 05）. Conclusion The prevalence rate of diabetes in elderly hypertensive patients in Jiujiang is high. Eld and high BMI may be risk factors for diabetes,taking effective prevention according to the risk factors is an important way to reduce the incidence of diabetes and improve the quality of life.