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目的:了解嘉定区社区内2型糖尿病并发高血压病患者治疗现况。方法:采用多阶段分层随机抽样方法在4个街镇随机抽取423例2型糖尿病并发高血压病患者,开展问卷调查、体格检查和实验室检查。结果:在413例资料完整的患者中,降压药规则服药率为90.8%,血压控制率为26.9%;单独使用一种降压药的患者278例,占74.1%。降糖药规则服药率为86.9%,血糖控制率为69.4%。高胆固醇血症、左心室肥厚和下肢外周动脉病是血压控制不良的危险因素,患糖尿病年限长、不规律服用降糖药、高三酰甘油血症和低密度脂蛋白过高是血糖控制不良的危险因素。结论:该地区2型糖尿病并发高血压病患者规范服药率达86.9%以上,血糖控制率为69.4%,而血压控制率仅达26.9%,与血糖和血压控制相关的独立可控因素是高脂血症和不规则服药。
Objective: To understand the status of treatment of type 2 diabetes and hypertension in Jiading community. Methods: A total of 423 patients with type 2 diabetes mellitus complicated with hypertension were randomly selected in a multi-stage stratified random sampling method in 4 towns and townships for questionnaires, physical examination and laboratory tests. Results: Of the 413 patients with complete data, the prescription rate of antihypertensive drugs was 90.8% and the blood pressure control rate was 26.9%. There were 278 patients taking only one antihypertensive drug, accounting for 74.1%. Hypoglycemic drug prescription rate was 86.9%, blood glucose control rate was 69.4%. Hypercholesterolemia, left ventricular hypertrophy, and peripheral arterial disease of the lower extremities are risk factors for poor blood pressure control. Patients with long diabetes, irregular hypoglycemic agents, hypertriglyceridemia, and high-density lipoprotein (LDL) are poorly controlled glycemic control Risk factors. CONCLUSIONS: The standardized medication rate of type 2 diabetes patients with hypertension in this area is above 86.9%, the blood glucose control rate is 69.4% and the blood pressure control rate is only 26.9%. The independent controllable factors related to blood glucose and blood pressure control are high fat Serious and irregular medication.