Cheong Ai Theng, Tong Seng Fah, Sazlina Sharrif G, Azah Abdul Samad, Salmiah Md Sharif
Universiti Putra Malaysia, Serdang, Malaysia
Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Asia Pac J Public Health. 2015 Mar;27(2):NP580-9. doi: 10.1177/1010539513480232. Epub 2013 Mar 27.
Hypertension is a common comorbidity among diabetic patients. This study aimed to determine blood pressure (BP) control among hypertensive patients with and without diabetes. This was a cross-sectional study in 6 public primary care clinics in Wilayah Persekutuan, Malaysia. Hypertensive patients aged ≥18 years and attending the clinics were selected via systematic random sampling. The BP control target was defined as <130/80 mm Hg for diabetic patients and <140/90 mm Hg for nondiabetic patients. A total of 1107 hypertensive patients participated in this study and 540 (48.7%) had diabetes. About one fourth (24.3%) of the hypertensive patients with diabetes achieved BP control target, compared with 60.1% patients without diabetes (P < .001). Being diabetic and on ≥2 antihypertensive treatments were associated with poor BP control. Attention needs to be given to these groups of patients when managing patients with hypertension.
高血压是糖尿病患者中常见的合并症。本研究旨在确定患有和未患有糖尿病的高血压患者的血压控制情况。这是一项在马来西亚吉隆坡6家公立基层医疗诊所开展的横断面研究。通过系统随机抽样选取年龄≥18岁且前往这些诊所就诊的高血压患者。糖尿病患者的血压控制目标定义为<130/80 mmHg，非糖尿病患者为<140/90 mmHg。共有1107名高血压患者参与本研究，其中540名（48.7%）患有糖尿病。约四分之一（24.3%）的糖尿病高血压患者达到了血压控制目标，而未患糖尿病的患者这一比例为60.1%（P <.001）。患有糖尿病且接受≥2种降压治疗与血压控制不佳相关。在管理高血压患者时，需要关注这些患者群体。
