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目的了解淮安市2型糖尿病合并高血压患者的血压控制情况及影响因素,为制订糖尿病合并高血压的防治措施提供依据。方法采用分层整群抽样法抽取2013年12月31日前在社区卫生服务中心登记管理的糖尿病合并高血压患者6 941例,采用统一问卷询问其人口学资料、生活方式及行为、疾病史和治疗史等,测量身高、体重和血压,进一步检测其血糖和血脂。采用SPSS 19.0统计软件进行血压控制影响因素的单因素和多因素logistic回归分析。结果淮安市糖尿病合并高血压患者中,血压控制良好率为13.20%。70岁及以上(OR=0.70,95%CI:0.51~0.98)、吸烟(OR=0.72,95%CI:0.60~0.86)、肥胖(OR=0.76,95%CI:0.59~0.97)、中心性肥胖(OR=0.79,95%CI:0.66~0.94)、高胆固醇血症(OR=0.75,95%CI:0.58~0.97)和高甘油三酯血症(OR=0.78,95%CI:0.66~0.93)是血压控制的危险因素(P<0.05,P<0.01),而居住在城市(OR=2.03,95%CI:1.71~2.42)、大专及以上学历(OR=2.14,95%CI:1.45~3.16)、进行降压治疗(OR=8.59,95%CI:7.56~9.77)和血糖控制良好(OR=1.35,95%CI:1.16~1.57)是血压控制的保护因素(P<0.01)。结论淮安市糖尿病合并高血压患者的血压控制率很低,应加强患者血压、血糖、血脂管理及吸烟和肥胖等其他危险因素控制。
Objective To understand the blood pressure control and its influencing factors in patients with type 2 diabetes mellitus complicated with hypertension in Huaian city and provide evidence for the prevention and control measures of hypertension associated with diabetes mellitus. Methods A total of 6 941 patients with diabetes mellitus complicated with hypertension were enrolled in the community health service center by stratified cluster sampling method before December 31, 2013. Their demographic data, lifestyle and behavior, disease history and treatment History, etc., measuring height, weight and blood pressure, and further testing of their blood sugar and blood lipids. Univariate and multivariate logistic regression analyzes were performed using SPSS 19.0 software. Results In Huaian Diabetes Patients with hypertension, the rate of good blood pressure control was 13.20%. (OR = 0.70, 95% CI: 0.51-0.98), smoking (OR = 0.72, 95% CI: 0.60-0.86), obesity (OR = 0.76, 95% CI: 0.59-0.97), centrality (OR = 0.79, 95% CI: 0.66-0.94), hypercholesterolemia (OR = 0.75,95% CI: 0.58-0.97) and hypertriglyceridaemia (OR = 0.78, 95% CI: 0.93) were risk factors for blood pressure control (OR = 2.14, 95% CI: 1.45, P <0.01), while those living in urban areas (OR = 2.03,95% CI: 1.71-2.42) (OR = 8.59, 95% CI: 7.56-9.77) and good glycemic control (OR = 1.35, 95% CI: 1.16-1.57) were the protective factors of blood pressure control (P <0.01). Conclusion The control rate of blood pressure in patients with diabetes mellitus and hypertension is very low in Huaian City. Patients’ blood pressure, blood glucose, blood lipid management and other risk factors such as smoking and obesity should be strengthened.