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目的探讨2型糖尿病合并高血压对血脂、颈动脉彩超以及心脏彩超的影响。方法采用回顾性研究的方法选取单纯2型糖尿病58例为A组,2型糖尿病合并高血压患者46例为B组,比较两组患者的血脂,颈动脉彩超及心脏彩超的差异。结果 B组TG、TC、LDL-C高于A组(P<0.05);B组的颈动脉彩超及心脏彩超的异常率明显高于A组(P<0.01)。颈动脉彩超异常与有糖尿病合并高血压、TC、TG、LDL-C呈正相关(OR值分别为2.889、3.027、1.453、2.525,P<0.05),心脏彩超异常与糖尿病合并高血压、TC呈正相关(OR值分别为2.611、1.827,P<0.05)。结论 2型糖尿病合并高血压患者在临床治疗工作中除了控制血糖及血压外,维持血脂达标是非常重要的。
Objective To investigate the effects of type 2 diabetes mellitus with hypertension on serum lipids, carotid ultrasonography and echocardiography. Methods A retrospective study was conducted to select 58 cases of simple type 2 diabetes mellitus as group A, 46 cases of type 2 diabetes mellitus complicated with hypertension as group B, and the differences of serum lipids, carotid ultrasonography and echocardiography were compared between the two groups. Results The TG, TC and LDL-C in group B were significantly higher than those in group A (P <0.05). The abnormal rates of carotid ultrasound and echocardiography in group B were significantly higher than those in group A (P <0.01). There was a positive correlation between carotid ultrasonography and hypertension with hypertension, TC, TG, LDL-C (OR = 2.889,3.027,1.453,2.525, P <0.05) (OR = 2.611, 1.827, P <0.05). Conclusions In addition to controlling blood sugar and blood pressure, it is very important to maintain blood lipid compliance in patients with type 2 diabetes mellitus and hypertension.