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高血压、糖尿病是心血管疾病最主要的危险因素。研究显示:高血压合并糖尿病可加重动脉粥样硬化的进展,使患心血管疾病的概率高达50%,心血管死亡及发生微血管病变的风险明显升高,且高血压可加重糖尿病并发症的发展,两者相互作用,导致恶性循环。在临床上,高血压合并糖尿病患者的危险分层均在“高危”之上。高血压和糖尿病就像孪生兄弟一样,不论是哪种病先发生,都会加重对心、脑、肾、血管等靶器官的损害,在疾病发展过程中相互影响,相互促进。对2型糖尿病人群构成最大威胁的,不是与高血糖直接相关的微血管病变(如糖尿病肾病),而是大血管病变(如心脑血管疾病和周围动脉阻塞性病变),糖尿病病死者中,80%以上死于心脑血管疾病。
Hypertension and diabetes are the most important risk factors of cardiovascular diseases. Studies have shown that: hypertension with diabetes can aggravate the progress of atherosclerosis, the risk of cardiovascular disease as high as 50%, the risk of cardiovascular death and microvascular disease was significantly increased, and hypertension can aggravate the development of diabetic complications , The interaction between the two, leading to a vicious circle. Clinically, the risk stratification of hypertensive patients with diabetes is above “high risk.” Hypertension and diabetes, like twin brothers, will aggravate the damage to target organs such as the heart, brain, kidney and blood vessels, no matter what kind of disease occurs first, and influence and promote each other during the development of the disease. The greatest threat to people with type 2 diabetes is not microvascular disease (such as diabetic nephropathy) that is directly linked to hyperglycemia but to macrovascular disease (such as cardiovascular and cerebrovascular diseases and peripheral arterial occlusive disease). Among those with diabetes, 80 % Died of cardiovascular and cerebrovascular diseases.