高血压合并糖尿病患者的高血压得到良好控制了吗？

Akbar Daad H, Al-Ghamdi Aisha A

Department of Medicine, PO Box 115652, Jeddah 21381, Kingdom of Saudi Arabia.

Saudi Med J. 2003 Apr;24(4):356-60.

OBJECTIVE

To determine the degree of blood pressure (BP) control in hypertensive diabetics and to study the types of antihypertensive agents used for BP control.

METHODS

A cross-sectional study was carried out on hypertensive diabetics followed in the outpatient clinic of King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia from January 2000 to February 2001. Patient's age, sex, duration of diabetes and its control, duration of hypertension and the type of antihypertensive agents used, were noted. Patients were classified according to the degree of systolic and diastolic BP control into 4 groups: systolic group-I (< or = 120 mmHg), group-II (121-130 mmHg), group-III (131-140 mmHg), group-IV (>140 mmHg); diastolic group-I (< or = 80 mmHg), group-II (81-85 mmHg), group-III (86-90 mmHg), group-IV (>90 mmHg).

RESULTS

A total of 230 patients were included with a mean age of 61 years and an equal male to female ratio. Mean duration of diabetes was 14 years and 9 years for hypertension. Five of 230 (2.2%) were in systolic group-I, 28/230 (12%) in group-II, 94/230 (41%) in group-III, 103/230 (44.8%) in group-IV; while 7/230 (3%) were in diastolic group-I, 30/230 (13%) in group-II, 92/230 (40%) in group-III, and 101/230 (43.9%) in group-IV. Angiotensin converting enzyme-inhibitors were used in 163/230 (70.9%) followed by diuretics in 99/230 (43%), Calcium channel-blockers in 62/230 (27%), and B-blockers in 25/230 (10.9%).

CONCLUSION

Only a small percentage of hypertensive diabetics met the recommended BP for diabetics. Efforts should be made by both patients and physician to achieve better BP control.

目的

确定高血压糖尿病患者的血压控制程度，并研究用于控制血压的抗高血压药物类型。

方法

对2000年1月至2001年2月在沙特阿拉伯王国吉达阿卜杜勒 - 阿齐兹国王大学医院门诊随访的高血压糖尿病患者进行了一项横断面研究。记录患者的年龄、性别、糖尿病病程及其控制情况、高血压病程以及所使用的抗高血压药物类型。根据收缩压和舒张压的控制程度将患者分为4组：收缩压I组（≤120 mmHg）、II组（121 - 130 mmHg）、III组（131 - 140 mmHg）、IV组（>140 mmHg）；舒张压I组（≤80 mmHg）、II组（81 - 85 mmHg）、III组（86 - 90 mmHg）、IV组（>90 mmHg）。

结果

共纳入230例患者，平均年龄61岁，男女比例相等。糖尿病平均病程为14年，高血压为9年。230例患者中，5例（2.2%）属于收缩压I组，28例（12%）属于II组，94例（41%）属于III组，103例（44.8%）属于IV组；而舒张压方面，7例（3%）属于I组，30例（13%）属于II组，92例（40%）属于III组，101例（43.9%）属于IV组。163例（70.9%）患者使用了血管紧张素转换酶抑制剂，其次是99例（43%）使用利尿剂，62例（27%）使用钙通道阻滞剂，25例（10.9%）使用β受体阻滞剂。