2013年吉林省居民高血压合并糖尿病的患病情况及危险因素分析

Prevalence and risk factors of hypertension complicated with diabetes mellitus among residents in Jilin Province,2013

目的探索高血压合并糖尿病的危险因素,为居民预防和控制疾病的发生提供科学依据。方法 2013年采用多阶段分层随机整群抽样的方法抽取吉林省4 608例18周岁以上居民(累积居住6个月以上)进行慢病问卷调查、体格检查和实验室检测,从中筛选1 434例高血压患者作为研究对象,应用logistic回归分析高血压患者中发生糖尿病的危险因素。结果 1 434例高血压患者中,合并糖尿病患者占23.71%,多因素logistic回归分析结果显示:城市(OR=1.362,95%CI:1.052~1.763)、年龄(45~55岁:OR=2.184,95%CI:1.181~4.040;≥65岁:OR=2.357,95%CI:1.234~4.500)、肥胖(OR=1.740,95%CI:1.223~2.475)和高血脂(OR=1.914,95%CI:1.466~2.498)是居民高血压合并糖尿病的危险因素。结论吉林省居民高血压合并糖尿病的患病率较高,应该重视及时干预城市居民的高血压、肥胖、高血脂、糖尿病,降低居民高血压合并糖尿病的发生率,提高患者生活质量。

Objective To explore the risk factors of hypertension complicated with diabetes mellitus so as to provide a scientific basis for disease prevention and control among residents. Methods Multi-stage stratified random cluster sampling method was used to select 4,608 residents aged 18 years and above and cumulatively lived in Jilin Province more than 6 months in 2013, and then a questionnaire survey of chronic diseases, physical examination and laboratory testing were conducted. Among the participants, 1,434 patients with hypertension were selected to serve as the research subjects. Logistic regression analysis were employed to explore the risk factors of diabetes in the patients with hypertension. Results Among the 1,434 hypertension patients, 23.71% of them simultaneously suffered from diabetes mellitus. Multivariate logistic regression analysis showed that the city （OR=1.362, 95%CI：1.052-1.763）, age （45-55 years old： OR=2.184, 95%CI：1.181-4.040; ≥65 years old： OR=2.357, 95%CI：1.234-4.500）, obesity （OR=1.740, 95%CI：1.223-2.475） and hyperlipidemia （OR=1.914, 95%CI：1.466-2.498） were the risk factor for hypertension complicated with diabetes mellitus among the residents. Conclusions The incidence rate of hypertension complicated with diabetes mellitus in the residents in Jilin Province is high. Therefore, it is necessary to pay special attention to obesity and hyperlipidemia and timely perform hypertension and diabetes mellitus intervention among urban residents so as to reduce the incidence rate of hypertension complicated with diabetes mellitus in the residents and improve the patients’ quality of life.