2型糖尿病合并高血压患者心脑血管病变的相关危险因素分析

Analysis of related risk factors of pathological changes of cardiocerebral vascular in type 2 diabetes mellitus patients with hypertension

目的 分析2型糖尿病合并高血压患者心脑血管病变的相关危险因素.方法 选取2型糖尿病患者100例作为研究对象,按照有无合并高血压将其分成对照组（无合并高血压）与观察组（合并高血压）各50例,比较两组心脑血管病发病率,并分析心脑血管病变相关危险因素.结果 对照组发生心脑血管病16例,发病率为32.0％,观察组发生心脑血管病33例,发病率为66.0％,观察组明显高于对照组,差异有统计学意义（χ^2=10.427,P〈0.05）;两组患者年龄、吸烟、饮食控制、运动、脂代谢异常、糖尿病病程、血糖控制水平、糖尿病并发症等指标差异均有统计学意义（均P〈0.05）.结论 合并高血压会在一定程度上增加2型糖尿病患者的心脑血管病发病率,年龄、吸烟、饮食控制、运动、脂代谢异常、糖尿病病程、血糖控制水平、糖尿病并发症等是2型糖尿病合并高血压患者诱发心脑血管病变的相关危险因素.

Objective To analyze the related risk factors of pathological changes of cardiocerebral vascular in type 2 diabetes mellitus （T2DM） patients with hypertension.Methods 100 patients with T2DM were selected as the research subjects.According to the presence of hypertension,they were divided into control group （without hyper tension） and observation group （hypertension）,50 cases in each group.The incidence of pathological changes of cardiocerebral vascular in the two groups was compared,and the risk factors of pathological changes of cardiocerebral vascular were analyzed.Results In the control group,the pathological changes of cardiocerebral vascular in 16 cases,the incidence rate was 32.0%.In the observation group,the pathological changes of cardiocerebral vascular in 33 cases,the incidence rate was 66.0%.The incidence rate of the observation group was significantly higher than the control group,there was statistically significant difference （χ^2 =10.427,P 〈 0.05）.The age,smoking,diet,exercise,fat metabolic disorders,diabetes,glycemic control,diabetic complications between the two groups had statistically significant differences （all P 〈 0.05）.Conclusion Complicated with hypertension will increase the pathological changes incidence of cardiocerebral vascular in patients with T2DM at a certain extent.The age,smoking,diet,exercise,lipid metabolic disorders,diabetes,glycemic control,diabetic complications are related risk factors to hypertension induced the pathological changes of cardiocerebral vascular in patients with T2DM.