高血压人群中糖尿病发病状况、相关影响因素及防治对策分析

Study on the Incidence of Diabetes Mellitus, Related Influencing Factors and Prevention and Cure Countermeasure in Hypertensive Population

目的调查分析高血压人群中的糖尿病患病情况及相关危险因素,为高血压人群防治糖尿病提供参考依据。方法调查对象均为高血压人群(≥18岁),共随机抽取调查对象564例,本次调查主要通过体格检查、问卷调查(家庭问卷与个人问卷)和实验室检测完成。然后对2型糖尿病发病相关危险因素进行单因素、多因素logistic回归分析,并据此提出相关防治对策。结果通过调查,在本次高血压人群中发现糖尿病72例,患病率为12.77%;随着年龄的增长,高血压人群中糖尿病患病率也在不断增加。经单因素分析发现,体质量指数(BMI)、文化程度、年龄、食用果蔬情况、总胆固醇水平、甘油三酯水平和低密度脂蛋白水平为高血压人群糖尿病患病的影响因素(P<0.05);经多因素分析发现,年龄(OR=1.792)、BMI(OR=1.515)、食用果蔬情况(OR=1.375)、甘油三酯水平(OR=1.571)、总胆固醇水平(OR=1.421)和低密度脂蛋白水平(OR=1.225)为高血压人群2型糖尿病患病影响高危因素(P<0.05)。结论高血压人群中的糖尿病患病率处于较高水平,且人们健康意识较差。高血压人群中2型糖尿病患病影响因素较多,所以,应根据患者发病影响的高危因素实施有效防治。

OBJECTIVE to provide reference for prevention and treatment of diabetes mellitus. METHODS The subjects were all hypertensive population(≥18 years old). A total of 564 subjects were randomly selected. The survey was done by physical examination, questionnaire(household questionnaire and personal questionnaire) and laboratory test. Then, the risk factors of type 2 diabetes mellitus were analyzed by univariate and multivariate logistic regression analysis, and the relevant countermeasures were put forward. RESULTS Through the survey found that the population of hypertension in 72 cases of diabetes, the prevalence rate was 12.77%; and with age and the prevalence of diabetes in hypertensive population was also increasing. The results of univariate analysis showed that body mass index(BMI), education level, age, edible fruits and vegetables, total cholesterol, triglyceride and low density lipoprotein were the influencing factors of diabetes mellitus, P<0.05(OR=1.515), edible fruits and vegetables(OR=1.375), triglyceride level(OR=1.571), total cholesterol(OR=1.421), low density Lipoprotein level(OR=1.225) was a risk factor for the prevalence of type 2 diabetes mellitus in hypertensive patients, P<0.05. CONCLUSION The prevalence of diabetes in the hypertensive population was high, and people's health consciousness were poor. The prevalence of type 2 diabetes mellitus was higher in hypertensive population, so it could be effectively prevented and controlled according to the risk factors.