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[动脉高血压与糖尿病。532例患者中宏观血管病变的发病率]

[Arterial hypertension and diabetes. The incidence of macroangiopathic disease in 532 patients].

作者信息

Gil Extremera B, Miralles García M C, Luna del Castillo J

出版信息

An Med Interna. 1989 Dec;6(12):614-8.

PMID:2491471
Abstract

552 diabetic patients were studied in order to establish the prevalence of hypertension and its repercussion in angiography. 32% of the diabetic patients studied had hypertension, the rate increasing with age, rising to 37.5% in diabetic patients older than 70 years of age (p = 0.002). It was found that females suffered more frequently from hypertension than males (38.8% and 9.2% respectively, P less than 10(-4)) and diabetic type II more frequently than type I (34.3%) and 9.1% respectively, P = 0.0006). Vascular disease was more frequent in hypertensive patients (42.7%) than those with normal blood pressure (23.5%), (P less than 10(-4)). Vascular brain disease and ischemic cardiopathy were the most frequent afflictions in hypertensive patients (25.1% and 24% respectively); and in patients with normal blood pressure 10% and 14% respectively (P less than 10(-4) and P = 0.005). These results confirm that HTA and DM are usually both present in patients, multiplying the risk of angiopathy.

摘要

对552名糖尿病患者进行了研究,以确定高血压的患病率及其在血管造影中的影响。所研究的糖尿病患者中有32%患有高血压,该比例随年龄增长而增加,在70岁以上的糖尿病患者中升至37.5%(p = 0.002)。研究发现,女性患高血压的频率高于男性(分别为38.8%和9.2%,P小于10^(-4)),2型糖尿病患者患高血压的频率高于1型糖尿病患者(分别为34.3%和9.1%,P = 0.0006)。高血压患者的血管疾病发生率(42.7%)高于血压正常者(23.5%),(P小于10^(-4))。高血压患者中最常见的疾病是脑血管疾病和缺血性心脏病(分别为25.1%和24%);血压正常者中分别为10%和14%(P小于10^(-4)且P = 0.005)。这些结果证实,高血压和糖尿病通常同时存在于患者中,增加了血管病变的风险。

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