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约旦一家国家糖尿病中心的1000例2型糖尿病患者中的高血压情况。

Hypertension among 1000 patients with type 2 diabetes attending a national diabetes center in Jordan.

作者信息

Mubarak Fayzeh M, Froelicher Erika S, Jaddou Hashem Y, Ajlouni Kamel M

机构信息

Department of Endocrinology and Genetics, The National Center for Diabetes, Amman, Jordan.

出版信息

Ann Saudi Med. 2008 Sep-Oct;28(5):346-51. doi: 10.5144/0256-4947.2008.346.

Abstract

BACKGROUND AND OBJECTIVES

In Jordan, there is a paucity of research on hypertension and its risk factors among patients with type 2 diabetes mellitus. This study was designed to assess the prevalence of hypertension, risk factors, and the level of awareness and control of hypertension among outpatients with type 2 diabetes.

SUBJECTS AND METHODS

A cross-sectional study was carried out on a sample of 1000 patients with type 2 diabetes who were attending the National Center for Diabetes, Endocrine and Genetic Diseases for follow-up during the period of June to December 2006. Data were collected from medical records and through a structured interview questionnaire. Logistic regression analysis was used to assess the independent effect of variables on hypertension.

RESULTS

The prevalence of hypertension (BP >130/80 or on medication for high blood pressure) was 72.4% (70.9% of males and 73.9% of females). The logistic regression indicated that hypertension was positively associated with age (P=.001), body mass index (P=.001), and duration of diabetes (P=.001). About one-half of patients who were aware of having hypertension failed to keep their blood pressure under control.

CONCLUSION

Hypertension is a common co-morbidity among diabetic patients. Despite a high rate of awareness of hypertension among study subjects (93%), hypertension was not controlled to the recommended levels of blood pressure in about one-half (50.4%) of patients.

摘要

背景与目的

在约旦,针对2型糖尿病患者的高血压及其危险因素的研究较少。本研究旨在评估2型糖尿病门诊患者中高血压的患病率、危险因素以及高血压的知晓和控制水平。

对象与方法

对2006年6月至12月期间在国家糖尿病、内分泌与遗传疾病中心接受随访的1000例2型糖尿病患者进行横断面研究。数据从医疗记录中收集,并通过结构化访谈问卷获取。采用逻辑回归分析评估各变量对高血压的独立影响。

结果

高血压(血压>130/80或正在服用高血压药物)的患病率为72.4%(男性为70.9%,女性为73.9%)。逻辑回归表明,高血压与年龄(P = 0.001)、体重指数(P = 0.001)和糖尿病病程(P = 0.001)呈正相关。约一半知晓自己患有高血压的患者未能控制好血压。

结论

高血压是糖尿病患者中常见的合并症。尽管研究对象中高血压知晓率较高(93%),但约一半(50.4%)的患者血压未控制在推荐水平。

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