沧州地区城镇居民高血压患者糖代谢异常调查分析

目的了解沧州地区城镇居民高血压患者糖代谢异常患病率及相关危险因素。方法以沧州地区城镇居民为调查对象,按随机分层抽样调查方法,对范围内所有原发性高血压患者糖代谢异常情况进行分析。按血压、性别、年龄分组,分析不同血压、年龄、男女患者血压和糖代谢异常分布特点及相关危险因素。结果调查组糖代谢异常总患病率17.69%。高血压患者糖尿病(DM)患病率17.15%,DM前期包括空腹糖调节受损(IFG)和糖耐量减低(IGT)患病率20.79%;除大于70岁组女性DM患病率高于男性,其他年龄组DM和糖尿病前期患病率均男性高于女性。糖代谢异常患病率随血压级别升高而增加,男性糖尿病患病率高于女性。糖代谢异常随增龄、肥胖度增加而增高。结论沧州地区级城镇居民高血压人群DM及糖尿病前期患病率较高。高血压与糖代谢异常密切相关,糖代谢异常的危险因素有高血压、年龄、肥胖等。糖尿病预防应积极控制可变危险因素。

Investigation and analysis on bleed sugar metabolism disorder of high blood pressure patients in Cangzhou residents

Objective It is to investigate the sugar metabolism disorder rates of hypertension patients in Cangzhou residents and observe the related risk factors.Methods According to random sampling stratification investigation method,all urban dweller in Cangzhou area were selected to survey.The sugar metabolism anomalies statuses of patients with high blood pressure were analyzed.According to blood pressure,gender,age groups,blood pressure and sugar metabolism disorders distribution characteristics and associated risk factors were analyzed in different blood pressure level,age and gender.Results Total incidence rate of sugar metabolism disorders in investigation was 17.69%.The incidence rate of diabetes mellitus in hypertension patients was 17.15%,and of pre-diabetes(including IFG and IGT) was 20.79%;according to the age group,it was higher in women than men of more than 70 years old group,other age group was higher in men than women.Sugar metabolism disorders incidence rate was increased with blood pressure level increased,men sugar metabolism disorder rates of each group was higher than women.Sugar metabolism disorders were increased with age,obesity.Conclusion Cangzhou regional urban residents,diabetes and pre-diabetes rates are higher in high blood pressure crowds.High blood pressure and sugar metabolism disorders are closely related,sugar metabolism disorders risk factors: high blood pressure,age,obesity.To prevent diabetes should actively control variable risk factor.