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目的:研究合并有2型糖尿病的原发性高血压患者出现血压晨峰现象的相关影响因素。方法:随机选取武汉科技大学附属天佑医院2015-01-2016-06的111例符合条件的患者,根据24h动态血压(ABPM)结果,将患者分为血压晨峰组(MBPS组)38例,及非血压晨峰组(NMBPS组)73例;检测患者的血脂(TC、TG、LDL-C、HDL-C)、空腹血糖(FBG)、糖化血红蛋白(HbA1c)、颈动脉内膜-中层厚度(IMT)。对比分析两组患者以上相关数据。结果:两组患者在性别、吸烟、饮酒、年龄、高血压病程、糖尿病病程、TC、TG、LDL-C、HDL-C、FBG等方面的差异无统计学意义(P>0.05);与NMBPS组相比较,MBPS组在BMI、HbA1c、IMT等方面数值升高,差异有统计学意义(P=0.011、0.042、0.001);Pearson相关分析显示BMI、IMT与MBPS呈正相关;多元线性回归分析显示BMI、IMT为血压晨峰现象的影响因素。结论:BMI及IMT是2型糖尿病合并原发性高血压患者血压晨峰现象的重要影响因素。
Objective: To study the influencing factors of morning peak of blood pressure in patients with type 2 diabetes mellitus complicated with essential hypertension. Methods: A total of 111 eligible patients at Tianyou Hospital Affiliated to Wuhan University of Science and Technology from January 2015 to June 2016 were selected. According to the results of 24-hour ambulatory blood pressure (ABPM), 38 patients were divided into MBPS group and Blood pressure (TC, TG, LDL-C, HDL-C), fasting blood glucose (FBG), HbA1c, carotid intima-media thickness IMT). Comparative analysis of two groups of patients above the relevant data. Results: There was no significant difference in gender, smoking, drinking, age, duration of hypertension, duration of diabetes, TC, TG, LDL-C, HDL-C and FBG between the two groups (P> 0.05) MBP group increased in BMI, HbA1c, IMT, the difference was statistically significant (P = 0.011,0.042,0.001); Pearson correlation analysis showed that BMI, IMT and MBPS was positively correlated; multiple linear regression analysis showed BMI, IMT for the impact of blood pressure morning peak phenomenon. Conclusion: BMI and IMT are the important influencing factors of blood pressure morning peak phenomenon in type 2 diabetes mellitus patients with essential hypertension.