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原发性高血压门诊患者空腹血糖受损患病率及危险因素的调查分析

[Investigation and analysis of the prevalence and risk factors for impaired fasting glucose in outpatients with essential hypertension].

作者信息

Chen Ying-Zhen, Hua Qi, Liu Rong-Kun

机构信息

Department of Cardiovascular, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2008 Sep;47(9):731-4.

PMID:19080197
Abstract

OBJECTIVE

To evaluate the prevalence of impaired fasting glucose (IFG) in outpatients with essential hypertension and the influencing factors.

METHODS

1026 essential hypertensive outpatients aged 15 - 87 years [531 males and 495 females, mean age (51.6 +/- 12.5) years] who visited Xuanwu hospital between February 2004 and January 2007 were recruited in the study. Their medical history, blood pressure, height, weight, waist circumferences (WC), hip circumference (HC), fasting plasma glucose (FPG), TC, TG, LDL-C, HDL-C were detected and analyzed.

RESULTS

The abnormal rate of FPG in hypertensive outpatients was 38.5% and incidence of IFG was 30.5%. The differences of gender, systolic blood pressure, BMI, waist-to-hip ratio (WHR), TG, TC between the normal glucose group and the IFG group were significant. Gender, family history of diabetes mellitus, TC and LDL-C enter into the logistic regression model (P < 0.05).

CONCLUSIONS

The detection rate of IFG is high in hypertensive outpatients and it is related with gender, family history of diabetes mellitus and disorders of lipid metabolism.

摘要

目的

评估原发性高血压门诊患者空腹血糖受损(IFG)的患病率及其影响因素。

方法

选取2004年2月至2007年1月期间就诊于宣武医院的1026例年龄在15 - 87岁的原发性高血压门诊患者[男性531例,女性495例,平均年龄(51.6±12.5)岁]纳入研究。检测并分析他们的病史、血压、身高、体重、腰围(WC)、臀围(HC)、空腹血糖(FPG)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)。

结果

高血压门诊患者FPG异常率为38.5%,IFG发生率为30.5%。血糖正常组与IFG组在性别、收缩压、体重指数(BMI)、腰臀比(WHR)、TG、TC方面差异有统计学意义。性别、糖尿病家族史、TC和LDL-C进入Logistic回归模型(P < 0.05)。

结论

高血压门诊患者IFG检出率较高,且与性别、糖尿病家族史及脂代谢紊乱有关。

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