[西班牙初级保健中心高血压糖尿病患者的评估与控制。BRAND II研究]
[Evaluation and control of hypertensive diabetics seen in Primary Care centres in Spain. BRAND II study].
作者信息
Abellán Alemán José, Prieto Díaz Miguel Ángel, Leal Hernández Mariano, Balanza Galindo Serafín, de la Sierra Iserte Alex, Martell Claros Nieves, García Romanos Fernando
机构信息
Sociedades Autonómicas de HTA-SEHLELHA, Spain.
出版信息
Aten Primaria. 2011 Jun;43(6):297-304. doi: 10.1016/j.aprim.2010.05.016. Epub 2011 Jan 14.
OBJECTIVE
We aimed to verify the level of blood pressure and glucose control and treatment in hypertensive diabetics seen in Primary Care Centres in Spain.
DESIGN
Descriptive study conducted on hypertensive diabetic patients who attended primary care centres for any reason.
LOCATION
Primary Care centres throughout Spain.
PARTICIPANTS
The study included 6,777 patients.
MEASUREMENTS
Blood pressure, weight, height, waist circumference, blood analysis and treatment were recorded
RESULTS
The mean age of the sample was 64.40 (11.50) years. Mean blood glucose was 141.8 (39) mg/dl, glycosylated haemoglobin was ≤7% in 45.9% of the sample, and blood pressure was under control (BP≤130/80 mmHg) in 9.8% of the patients studied. LDL Cholesterol was ≤100mg/dl in 25.3% of the sample. The drugs most used to control diabetes were; sulphonylureas 2259 patients (33.3%) and biguanides 3768 patients (55.6%). A total of 556 patients were on treatment with insulin, which represented 8.2% of the population studied. The drugs most used for hypertension were; diuretics in 3395 patients (50.1%) and angiotensin-converting enzyme inhibitors in 4053 patients (59.8%).
CONCLUSIONS
A large proportion of hypertensive diabetics are insufficiently controlled.
目的
我们旨在核实西班牙初级保健中心高血压糖尿病患者的血压和血糖控制水平及治疗情况。
设计
对因任何原因前往初级保健中心就诊的高血压糖尿病患者进行描述性研究。
地点
西班牙各地的初级保健中心。
参与者
该研究纳入了6777名患者。
测量指标
记录血压、体重、身高、腰围、血液分析及治疗情况。
结果
样本的平均年龄为64.40（11.50）岁。平均血糖为141.8（39）mg/dl，45.9%的样本糖化血红蛋白≤7%，9.8%的研究患者血压得到控制（血压≤130/80 mmHg）。25.3%的样本低密度脂蛋白胆固醇≤100mg/dl。最常用于控制糖尿病的药物为：磺脲类药物2259例患者（33.3%），双胍类药物3768例患者（55.6%）。共有556例患者接受胰岛素治疗，占研究人群的8.2%。最常用于治疗高血压的药物为：利尿剂3395例患者（50.1%），血管紧张素转换酶抑制剂4053例患者（59.8%）。
结论
很大一部分高血压糖尿病患者控制不佳。
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