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重庆大学医院
纸质出版日期:2016,
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[1]张毅,郭丽,贾红莲.重庆市某高校社区高血压伴糖尿病现况调查[J].保健医学研究与实践,2016,13(03):19-23.
Zhang Yi, Guo Li, Jia Honglian. A Survey on the Current Prevalence of Hypertension with Diabetes in a University Community of Chongqing[J]. Health Medicine Research and Practice, 2016,13(3):19-23.
目的了解重庆市某高校社区原发性高血压伴糖尿病(以下简称高伴糖)患病及诊治状况
为更全面和有效地防控心脑血管疾病提供依据。方法对重庆市某高校社区6 099名20岁及以上常住居民进行问卷调查、体格和生化检查
筛查高伴糖患者并对筛查结果进行统计分析。结果该社区人群高血压患病率为24.1%
糖尿病患病率为34.0%
高伴糖患病率为10.1%
其中男性患病率为12.6%
女性患病率为7.1%
二者相比差异有统计学意义(χ
2
=50.700
P=0.000)。41.8%的高血压患者伴有糖尿病
29.7%的糖尿病患者伴有高血压。随着年龄增加
高伴糖患病率呈逐渐增高趋势
患病率与年龄呈正相关(r=0.279
P=0.000);各年龄组男性患病率均高于女性
40岁年龄组、50岁年龄组、60岁年龄组男女间患病率差异有统计学意义(χ
2
=11.432
P=0.001;χ
2
=21.202
P=0.000;χ
2
=15.213
P=0.000);超质量或肥胖者及中心性肥胖者高伴糖患病率均较高
分别为15.2%和22.2%;高伴糖患者病情知晓率为51.0%
其中有68.2%的患者已接受降压、降糖治疗
控制达标率为52.3%。女性知晓率和治疗率及控制达标率(52.3%
69.3%
57.1%)均高于男性(50.4%
67.6%
50.0%)。结论高伴糖患病率和控制达标率不容乐观
应加强社区人群的健康教育
特别是对中老年、超质量、肥胖等高伴糖高危人群进行重点教育
基层医生应重视对高伴糖的诊断和规范干预
对防治高伴糖和预防心脑血管事件的发生具有十分重要的意义。
Objective To investigate the prevalence and treatment of essential hypertension with diabetes mellitus(hereinafter referred to as hypertension with diabetes)in a university community of Chongqing so as to provide an evidence for a more comprehensive and effective prevention and control of cardiovascular disease.Methods 6 099 permanent residents aged 20 and above in a university community of Chongqing were surveyed with questionnaires and taken physical examination and biochemical tests to screen hypertension and diabetes
and screening results were analyzed statistically.Results Among all the residents
the incidence of hypertension was 24.1%
the incidence of diabetes was 34.0%
the incidence of hypertension with diabetes was 10.1%
of which the incidence for males was 12.6%and 7.1%for females and the difference was statistically significant(χ
2
=50.700
P=0.000).41.8% of hypertensive patients suffered from diabetes and 29.7% of diabetic patients suffered from hypertension.With increasing age
the incidence of hypertension with diabetes increased gradually and its incidence and age were positively correlated(r=0.279
P=0.000);incidences for males in all age groups were higher than females and the differences in incidences between males and females of40-year-old
50-year-old and 60-year-old groups were statistically significant(χ
2
=11.432
P=0.001;χ
2
=21.202
P=0.000;χ
2
=15.213
P=0.000);overweight and obese patients and ones with central obesity had high incidences of hypertension with diabetes
respectively 15.2% and 22.2%;the awareness rate of hypertension with diabetes in hypertension-with-diabetes patients were 51.0%
of which 68.2% of the patients had been receiving antihypertensive
hypoglycemic treatment and the standardized controlling rate was 52.3%.The awareness rate
treatment rate and standardized controlling rate(52.3%
69.3%
57.1%)in females were higher than males(50.4%
67.6%
50.0%).Conclusion The prevalence and treatment of hypertension with diabetes is not optimistic and health education in community should be strengthened to the whole population
especially to high-risk groups of hypertension with diabetes
such as middle-aged and the elderly
overweight and obese people
while all the grass-roots doctors need to focus on the diagnosis of hypertension with diabetes and its comprehensive prevention and control measures
which is of great significance to prevent the occurrence of hypertension with diabetes and cardiovascular diseases.
高伴糖患病率危险因素诊治状况
Hypertension with diabetesIncidenceRisk factorsDiagnosis
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