南京市江宁区2型糖尿病合并高血压患者血压控制及影响因素

The blood pressure control status and influencing factors of hypertension combined type 2 diabetic mellitus patients in Jiangning district of Nanjing city

目的了解南京市江宁区2型糖尿病(T2DM)合并高血压患者血压控制及其影响因素。方法采用整群抽样的方法,以纳入国家基本公共卫生服务管理满1年的T2DM合并高血压患者为研究对象,通过χ2检验和logistic回归模型探索其血压控制的影响因素。结果4 738例研究对象中,血压控制良好1 133例,控制率23.91%。多因素logistic逐步回归分析显示,年龄≥60岁(OR=1.490,95%CI:1.126~1.971)、超重(OR=1.807,95%CI:1.510~2.162)、肥胖(OR=2.035,95%CI:1.735~3.062)、血糖控制不良(OR=2.493,95%CI:2.101~2.960)、血脂异常(OR=8.174,95%CI:6.551~10.198)是T2DM合并高血压患者血压控制的危险因素,居住城市(OR=0.443,95%CI:0.341~0.575)、体育锻炼(OR=0.152,95%CI:0.127~0.182)、饮食均衡(OR=0.683,95%CI:0.568~0.822)是T2DM合并高血压患者血压控制的保护因素。结论南京市江宁区糖尿病合并高血压患者血压控制情况不容乐观,应采取行之有效的防控措施,切实做好患者管理工作。

Objective To study the blood pressure control status of hypertension combined type 2diabetic mellitus(T2DM)patients and its influencing factors.Methods Using multistage cluster sampling method to select T2DM patients with hypertension who were recruited in the national public health service management for more than oneyear as survey subjects.Chi-square and logistic regression analysis methods were used to evaluate the blood pressure control ralated influencing factors.Results Among 4 738subjects,a total of 1 133maintained normal blood pressure,the control rate was 23.91%.Multivariate logistic regression analysis showed that aged over 60years(OR=1.490,95%CI:1.126-1.971),overweight(OR=1.807,95%CI:1.510-2.162),obesity(OR=2.035,95%CI:1.735-3.062),poor control of blood glucose(OR=2.493,95%CI:2.101-2.960),dyslipidemia(OR=8.174,95%CI:6.551-10.198)were risk factors for T2DM patients with hypertension to control blood pressure;while urban inhabitants(OR=0.443,95%CI:0.341-0.575),physical exercise(OR=0.152,95%CI:0.127-0.182),well-balanced diet habit(OR=0.683,95%CI:0.568-0.822)were protection factors.Conclusion The blood control status of T2DM patients with hypertension in Jiangning district is not optimistic.The effective prevention measures should be carried out to improve patients management.