Choe Hae Mi, Townsend Kevin A, Blount Gretchen, Lo Chong Houa, Sadowski Linda, Standiford Connie J
Department of Pharmacy, University of Michigan (UM) Health System, East Ann Arbor Health Center, Ann Arbor, Michigan 48109-2704, USA.
Am J Health Syst Pharm. 2007 Jan 1;64(1):97-103. doi: 10.2146/ajhp060061.
A study was conducted to characterize the prevalence of hypertension in patients with diabetes mellitus and the percentage of patients with diabetes and hypertension who achieved a targeted blood pressure goal (<135/80 mm Hg).
A retrospective, cross-sectional study was conducted in an ambulatory care clinic. Eligible patients were those individuals being managed for type 2 diabetes mellitus at least once each year for two consecutive years. Blood pressure measurements that were recorded in the medical chart or written diagnoses of hypertension were used to determine the presence of comorbid hypertension. Data were collected from the chart and electronic record using a standardized form. Clinic visits over the previous 12 months were reviewed to evaluate hypertension criteria. A blood pressure of > or = 135/80 mm Hg was used to define hypertension.
A final sample of 362 patients with type 2 diabetes mellitus was included in the study. Of these, 79% had concomitant diabetes and hypertension. Blood pressure was controlled in 175 of 270 (65%) patients. Patients who met the blood pressure goal tended to be older and weigh less than those who did not. The adjusted odds of achieving the blood pressure goal were 1.9 times higher in those patients who also achieved their low-density-lipoprotein cholesterol goal. Most patients were on at least one antihypertensive agent; approximately 39% of the 89 patients treated with monotherapy were above the blood pressure goal. Combination therapy was used in 164 patients; approximately 32% of patients treated with combination therapy were above the blood pressure goal.
Among ambulatory care patients with diabetes, 79% also had hypertension. Hypertension was controlled in 65% of patients with that disorder.
开展一项研究以描述糖尿病患者中高血压的患病率，以及达到血压目标值（<135/80 mmHg）的糖尿病合并高血压患者的百分比。
在一家门诊护理诊所进行了一项回顾性横断面研究。符合条件的患者是那些连续两年每年至少接受一次2型糖尿病治疗的个体。使用病历中记录的血压测量值或高血压的书面诊断来确定合并高血压的存在。通过标准化表格从病历和电子记录中收集数据。回顾过去12个月的门诊就诊情况以评估高血压标准。血压≥135/80 mmHg被用于定义高血压。
该研究纳入了362例2型糖尿病患者的最终样本。其中，79%患有糖尿病合并高血压。270例患者中有175例（65%）血压得到控制。达到血压目标的患者往往比未达到目标的患者年龄更大且体重更轻。同时达到低密度脂蛋白胆固醇目标的患者实现血压目标的调整后几率高出1.9倍。大多数患者至少服用一种抗高血压药物；接受单一疗法治疗的89例患者中约39%高于血压目标值。164例患者采用了联合治疗；接受联合治疗的患者中约32%高于血压目标值。
在门诊护理的糖尿病患者中，79%也患有高血压。65%的该疾病患者高血压得到了控制。
