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目的观察2型糖尿病(T2DM)合并高血压对患者的临床影响,提高对T2DM合并高血压的临床认识。方法选择T2DM合并高血压患者82例,作为DM+HP组;选择同期单纯糖尿病患者96例,作为DM组,比较两组患者身高、体重、体质指数、颈围、腰围、臀围、腰臀比,并比较两组患者甘油三酯(TG)、总胆固醇(TC)、血尿酸(UA)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)。同时在DM+HP组中,将上述指标与患者高血压级别进行相关性分析。结果两组患者在一般情况及生化指标方面比较,差异具有统计学意义(P<0.05),DM+HP组显著高于DM组;在DM+HP组患者中,高血压分级与一般情况及生化指标呈正相关性(P<0.05)。结论对于T2DM患者,在积极控制血糖的同时,应注意控制血压,经常性的进行一般情况及生化指标检查,对早期发现及治疗具有重要的临床意义。
Objective To observe the clinical effect of type 2 diabetes mellitus (T2DM) complicated with hypertension on patients and to improve the clinical understanding of T2DM complicated with hypertension. Methods Totally 82 patients with T2DM complicated with hypertension were selected as DM + HP group. Ninety-six patients with simple diabetes mellitus (DM) at the same period were selected as DM group. Body height, weight, body mass index, neck circumference, waist circumference, hip circumference, (TG), total cholesterol (TC), uric acid (UA), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) were compared between the two groups. At the same time in DM + HP group, the above indicators and patients with high blood pressure level correlation analysis. Results The two groups of patients in the general situation and biochemical indicators, the difference was statistically significant (P <0.05), DM + HP group was significantly higher than the DM group; in the DM + HP group, the classification of hypertension and the general situation and biochemistry The index was positively correlated (P <0.05). Conclusions In patients with T2DM, we should pay attention to controlling blood pressure while taking positive control of blood glucose, and conduct general and biochemical tests on T2DM patients with important clinical significance for early detection and treatment.