2018年天津市东丽区万新街社区糖尿病合并高血压老年人患病情况及影响因素研究
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摘要
目的探讨天津市社区60岁及以上老年人群糖尿病合并高血压的患病情况及其危险因素,为制定糖尿病合并高血压的防治措施提供依据。方法抽取天津市东丽区万新街7 235名60岁及以上的常住居民进行问卷调查和体格检查,采用logistic回归分析糖尿病合并高血压的危险因素。结果被调查的7 235人中,糖尿病合并高血压患病率为17.2%,男性和女性高血压患病率差异无统计学意义;单因素logistic回归分析结果显示:70岁以上、腹型肥胖、脑卒中、精神应激、超重、肥胖、尿常规异常、甘油三酯异常和高密度脂蛋白异常均是60岁及以上老年人患糖尿病合并高血压的危险因素。多因素logistic回归分析结果显示:70～79岁、80岁以上、腹型肥胖、脑卒中、精神应激、肥胖、尿常规异常和甘油三酯异常是60岁及以上老年人患糖尿病合并高血压的危险因素。结论天津市东丽区万新街社区老年人群糖尿病合并高血压患病率较高,应积极治疗原发疾病,倡导健康的生活方式,改变不良的生活习惯,保持健康体重,重视生化指标监测,以降低糖尿病合并高血压的患病率。
OBJECTIVE To explore the prevalence and correlates of hypertension among the elder residents in community of Dongli District in Tianjin,and to provide the relative control measures for diabetes with hypertension. METHODS A multi-phasic stratified cluster sampling method was adapted and 7 235 elder residents(>60 years old)from the Community Health Center of Wanxin Street in Dongli District of Tianjin in 2018 were investigated. The questionnaire and physical examination data were used to analyze the risk factors of diabetes with hypertension by the method of logistic regression. RESULTS Among 7 235 participants,the prevalence of diabetes with hypertention was 17.2%,there was no difference between men and women. the results of univariate logistic regression showed that beyond age 70,abdominal obesity,stroke,mental stress,overweight,obesity,abnormal urine analysis,high TG and low high-density lipoprotein were associated with higher risk for diabetes with hypertension. For multiple logistic regression analysis: age 70 to 79,beyond age 80,abdominal obesity,stoke,mental stress,obesity and abnormal urine analysisand high TG were associated with higher risk for hypertension. CONCLUSION the hypertension prevalence of elder residents of Community Health Center of Wan Xin Street in Dongli District of Tianjin was high,so treatment for primary diseases was a must,and it was necessary to pay more attention to keep a healthy life,change unhealthy habits,sustain a healthy weight and pay more attention to the change of biochemical diagnosis to lower hypertension prevalence.
OBJECTIVE To explore the prevalence and correlates of hypertension among the elder residents in community of Dongli District in Tianjin,and to provide the relative control measures for diabetes with hypertension. METHODS A multi-phasic stratified cluster sampling method was adapted and 7 235 elder residents(>60 years old)from the Community Health Center of Wanxin Street in Dongli District of Tianjin in 2018 were investigated. The questionnaire and physical examination data were used to analyze the risk factors of diabetes with hypertension by the method of logistic regression. RESULTS Among 7 235 participants,the prevalence of diabetes with hypertention was 17.2%,there was no difference between men and women. the results of univariate logistic regression showed that beyond age 70,abdominal obesity,stroke,mental stress,overweight,obesity,abnormal urine analysis,high TG and low high-density lipoprotein were associated with higher risk for diabetes with hypertension. For multiple logistic regression analysis: age 70 to 79,beyond age 80,abdominal obesity,stoke,mental stress,obesity and abnormal urine analysisand high TG were associated with higher risk for hypertension. CONCLUSION the hypertension prevalence of elder residents of Community Health Center of Wan Xin Street in Dongli District of Tianjin was high,so treatment for primary diseases was a must,and it was necessary to pay more attention to keep a healthy life,change unhealthy habits,sustain a healthy weight and pay more attention to the change of biochemical diagnosis to lower hypertension prevalence.
引文
[1] JI L,HU D,PAn C,et al.Primacy of the 3B approach to control risk factors for cardiovascular disease in type 2 diabetes patients[J]. The American journal of medicine,2013,126(10):925,911-922.
[2]庞振军,陆爱舟.上海某社区65岁以上老年人健康体检结果分析[J].上海医药,2018,39(16):47-49.
[3]王小艳,张燕.泸州市65岁及以上老年人体检高血压和糖尿病及血脂异常患病情况分析[J].预防医学情报杂志,2018,34(2):161-164.
[4]冯群:老年人糖尿病伴高血压的社区患病情况与临床特征研究[J].糖尿病新世界,2015(23):193-195.
[5]郭宗琳,钱泉,付彬,等.成都市铁路职工糖尿病人群慢性肾脏病患病情况及相关危险因素[J].临床肾脏病杂志,2016,16(12):734-738.
[6]韩东玲,翟晓娟,陈秀清,等. 2型糖尿病合并高血压患者抑郁状况及影响因素[J].中国健康心理学杂志,2013,21(4):518-519.
[2]庞振军,陆爱舟.上海某社区65岁以上老年人健康体检结果分析[J].上海医药,2018,39(16):47-49.
[3]王小艳,张燕.泸州市65岁及以上老年人体检高血压和糖尿病及血脂异常患病情况分析[J].预防医学情报杂志,2018,34(2):161-164.
[4]冯群:老年人糖尿病伴高血压的社区患病情况与临床特征研究[J].糖尿病新世界,2015(23):193-195.
[5]郭宗琳,钱泉,付彬,等.成都市铁路职工糖尿病人群慢性肾脏病患病情况及相关危险因素[J].临床肾脏病杂志,2016,16(12):734-738.
[6]韩东玲,翟晓娟,陈秀清,等. 2型糖尿病合并高血压患者抑郁状况及影响因素[J].中国健康心理学杂志,2013,21(4):518-519.