Sugarman J R
Department of Family Practice, Shiprock Public Health Service Hospital, NM 87420.
Arch Intern Med. 1990 Feb;150(2):359-62.
Hypertension is more common among persons with non-insulin-dependent diabetes mellitus than among appropriately matched nondiabetic populations. The presence of hypertension in persons with non-insulin-dependent diabetes mellitus is associated with increased rates of the microvascular and macrovascular complications of non-insulin-dependent diabetes mellitus. A cross-sectional study of a cohort of 817 diabetic Navajo Indians was performed to determine the age-, sex-, and duration-specific prevalence of diagnosed hypertension. Persons with end-stage renal disease were excluded from the population. A total of 388 of the patients (47.5%) had diagnosed hypertension. The prevalence of hypertension increased with increasing age. Contrary to findings in other populations, women did not have higher rates of hypertension than men. The duration of diabetes did not have a consistent effect on the rates of hypertension. The current prevalence of hypertension among Navajos with diabetes is higher than that reported two decades ago.
与匹配良好的非糖尿病人群相比，高血压在非胰岛素依赖型糖尿病患者中更为常见。非胰岛素依赖型糖尿病患者中高血压的存在与非胰岛素依赖型糖尿病微血管和大血管并发症的发生率增加有关。对817名纳瓦霍印第安糖尿病患者进行了一项横断面研究，以确定诊断为高血压的年龄、性别和病程特异性患病率。患有终末期肾病的患者被排除在研究人群之外。共有388名患者（47.5%）被诊断为高血压。高血压患病率随年龄增长而增加。与其他人群的研究结果相反，女性高血压患病率并不高于男性。糖尿病病程对高血压发生率没有一致的影响。目前，纳瓦霍族糖尿病患者中高血压的患病率高于二十年前报告的患病率。
