| 向红丁.住院病例高血压与糖尿病慢性并发症患病率的研究[J].Chinese journal of Epidemiology,2003,24(9):819-821 |
| 住院病例高血压与糖尿病慢性并发症患病率的研究 |
| Study on prevalence rates of hypertension and chronic diabetic complications of in-patients with diabetes |
| Received:March 06, 2003 |
| DOI： |
| KeyWord: 糖尿病 糖尿病血管病 高血压 |
| English Key Word: Diabetes Diabetic angiopathy Hypertension |
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| Abstract: |
| 目的 了解中国糖尿病患者慢性并发症发病及相关大血管病变状况与高血压的相关关系。方法 对 1991年 1月 1日至 2 0 0 0年 12月 31日期间在全国 30个省、市、自治区医院内分泌科住院糖尿病患者 2 4 4 96例的临床及实验室资料进行回顾性分析。结果 近 10年中国住院糖尿病患者糖尿病并发高血压患病率为 31.9%,其他并发症患病率分别为 :脑血管病变 12.2 %、心血管病变 15.9%、下肢血管病变 5.0 %、眼病变 34.3%、肾脏病变 33.6 %、神经病变 6 0.3%,总患病率为 73.2 %。高血压与各种糖尿病慢性并发症均相关,高收缩压的OR值 95 %CI:1.14 8～ 1.86 6,高舒张压的OR值 95 %CI:1.14 1～ 1.2 4 2。结论 中国住院糖尿病患者慢性并发症发病率显著高于非糖尿病者,接近国外资料报告的水平。高血压,尤其是高收缩压是多种糖尿病慢性并发症重要的危险因子之一。 |
| English Abstract: |
| Objective To understand the relationship between prevalence rates of chronic diabetic complications and related macro-vascular diseases and hypertension, to provide evidence for diabetes prevention and control.Methods To retrospectively analyze the clinical and laboratory data on 24 496 in-patients with diabetes during Jan.1, 1991 to Dec.31, 2000 from 30 provinces, municipalities and autonomous regions. Results The prevalence rate of hypertension was 31.95 %. The prevalence rates of other chronic diabetic complications and related macro-vascular diseases were 12.2 % for cerebrovascular diseases, 15.9 % for cardiovascular diseases, 5.0 % for lower extremity vascular diseases, 34.3 % for eye diseases, 33.6 % for nephropathy and 60.3 % for neuropathy, with a total rate of chronic diabetic complications and macro-vascular diseases of 73.2 %. Hypertension was related with all kinds of chronic diabetic complications and macro-vascular diseases odds ratio ( OR ) of related systolic blood pressure was 1.148- 1.866, and OR related diastolic was 1.141- 1.242.Conclusion The prevalence rates of chronic diabetic complications and related macro-vascular diseases of in-patients with diabetes mellitus were much higher than those of non-diabetics, and was close to the levels seen in the western countries.Hypertension, especially high systolic blood pressure was the most important risk factor of chronic diabetic complications and the related macro-vascular diseases. |
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