White Fiona, Wang Lexin, Jelinek Herbert F
School of Biomedical Sciences, Charles Sturt University, Wagga Wagga;
Exp Clin Cardiol. 2010 Spring;15(1):5-8.
To investigate the management of hypertension in patients with diabetes mellitus, living in a rural setting.
A community health screening clinic was conducted at Charles Sturt University, Albury-Wodonga, in rural southeastern Australia. Patients with either diagnosed hypertension or high blood pressure who attended the clinic were eligible for inclusion in the present study. The awareness and control of hypertension was compared between patients with and without diabetes mellitus.
A total of 449 patients with hypertension were analyzed. One hundred twenty-one (26.9%) had hypertension and diabetes mellitus, and 328 (73.1%) had hypertension without diabetes mellitus. Hypertension awareness (61.2% versus 36.9%, P=0.014) and control (17.4% versus 7.0%, P=0.040) were significantly better in the hypertensive patients with diabetes mellitus than in the hypertensive patients without diabetes mellitus. Antihypertensive medication use was also significantly higher in patients with diabetes mellitus than in patients without diabetes mellitus (one antihypertensive medication, 41.3% versus 25.0%, P=0.045).
Awareness and control of hypertension were suboptimal in the patients in the present study. Diabetes mellitus, however, was associated with both higher awareness and better control of hypertension than having hypertension alone. This may be partially due to a higher use of antihypertensive medications by patients with diabetes mellitus.
调查生活在农村地区的糖尿病患者的高血压管理情况。
在澳大利亚东南部农村的阿尔伯里-沃东加的查尔斯·斯特尔特大学开展了一次社区健康筛查门诊。到该门诊就诊的已确诊高血压或血压高的患者符合纳入本研究的条件。对患有和未患有糖尿病的患者的高血压知晓率和控制情况进行了比较。
共分析了449例高血压患者。其中121例（26.9%）患有高血压和糖尿病，328例（73.1%）患有高血压但无糖尿病。患有糖尿病的高血压患者的高血压知晓率（61.2%对36.9%，P = 0.014）和控制率（17.4%对7.0%，P = 0.040）显著高于未患糖尿病的高血压患者。糖尿病患者的抗高血压药物使用率也显著高于非糖尿病患者（一种抗高血压药物，41.3%对25.0%，P = 0.045）。
本研究中患者的高血压知晓率和控制率不理想。然而，与单纯患有高血压相比，糖尿病与更高的高血压知晓率和更好的控制相关。这可能部分归因于糖尿病患者对抗高血压药物的更高使用率。
