论文部分内容阅读
目的了解浙江省湖州市吴兴区农村居民高血压合并糖尿病患病情况及其危险因素,为制定防治策略提供科学依据。方法采用两阶段随机抽样方法对湖州市吴兴区4230名农村居民进行问卷调查、体格检查和实验室检测。选择其中高血压合并糖尿病患者作为病例组,选择单纯高血压患者作为对照组,对高血压合并糖尿病患者患病情况和其危险因素进行分析。结果调查对象高血压、糖尿病以及高血压合并糖尿病调查患病率和复杂加权患病率分别为23.76%、5.98%、3.17%和14.21%、3.78%、1.81%。高血压患者中患糖尿病和糖尿病患者中患高血压比例分别为13.33%和52.96%。高血压合并糖尿病患病率女性高于男性,与年龄呈正相关,与文化程度呈负相关,且55岁以上人群患病率增幅明显高于高血压和糖尿病。多因素logistic回归分析显示,糖尿病家族史、体质指数、总胆固醇是高血压合并糖尿病的危险因素。结论应进一步重视农村地区高血压、糖尿病以及高血压合并糖尿病的防控工作,多应用具体事例开展更具针对性的健康教育工作。对高血压患者,应在积极控制血压和肥胖的同时,重视空腹血糖、血脂等指标的监测,并在高血压合并糖尿病药物预防和治疗方面进一步加强医防合作。
Objective To understand the prevalence of hypertension and its risk factors among rural residents in Wuxing District of Huzhou City, Zhejiang Province, and to provide a scientific basis for making prevention and treatment strategies. Methods A total of 4,230 rural residents in Wuxing District of Huzhou City were investigated by questionnaires, physical examinations and laboratory tests using a two-stage random sampling method. The patients with hypertension complicated with diabetes mellitus were selected as the case group, and the patients with hypertension were selected as the control group to analyze the prevalence and risk factors of hypertension in patients with diabetes mellitus. Results The prevalence rates of hypertension, diabetes mellitus and hypertension complicated with diabetes survey were 23.76%, 5.98%, 3.17% and 14.21%, 3.78% and 1.81% respectively. Hypertensive patients with diabetes and diabetes patients suffering from hypertension were 13.33% and 52.96% respectively. The prevalence of hypertension with diabetes in women was higher than that in men, positively correlated with age and negatively correlated with education level, and the prevalence of hypertension in people over 55 was significantly higher than that of hypertension and diabetes. Multivariate logistic regression analysis showed that family history of diabetes mellitus, body mass index and total cholesterol were risk factors for hypertension with diabetes mellitus. Conclusions More attention should be paid to the prevention and control of hypertension, diabetes mellitus and hypertension complicated with diabetes in rural areas, and more specific examples should be used to carry out more targeted health education. In patients with hypertension, positive control of blood pressure and obesity should be given attention to the monitoring of fasting blood glucose, blood lipid and other indicators, and to further strengthen medical cooperation in the prevention and treatment of hypertension with diabetes.