Mur Martí T, Franch Nadal J, Morato Griera J, Mena González A, Vilarrubias Calaf M, Llobera Serentill A
Area Básica de Salud Raval Sud, Barcelona.
Aten Primaria. 1995 Jun 30;16(2):67-72.
To study the prevalence of clinical forms of diabetic macroangiopathy (DM) and its risk factors.
A descriptive crossover study.
An elderly and socio-economically very depressed population in Raval Sud Health District (HD), Barcelona.
Random sampling of type II diabetes patients (n = 387) registered in the HD (6.6% prevalence).
Each patient was examined for the presence of diagnostic criteria of peripheric, cerebral or coronary vasculopathy (VP); as well as for the possible risk factors (age, gender, years of the DM's evolution, tobacco, hypertension, obesity, glycosilated haemoglobin and dyslipemia). Prevalences obtained were: peripheric VP = 24.5%, cerebral VP = 9.5%, coronary VP = 18.1%. 30.5% of the diabetics had some form of macroangiopathy. The main risk factors for all the clinical forms (p < 0.001) were age and the length of evolution of DM, tobacco mainly for peripheric VP (p < 0.001), systolic Hypertension for cerebral VP (p = 0.03) and Hypertriglyceridaemia for peripheric VP (p < 0.01).
Macroangiopathy affects a high percentage (30.5%) of type 2 diabetics. The principal risk factors are those associated with tobacco, hypertension and hypertriglyceridaemia, all of which we can affect and control.
研究糖尿病大血管病变（DM）的临床类型患病率及其危险因素。
一项描述性交叉研究。
巴塞罗那拉瓦尔南区卫生区（HD）一个老年且社会经济状况非常低迷的人群。
对HD登记的II型糖尿病患者进行随机抽样（n = 387）（患病率6.6%）。
检查每位患者是否存在外周、脑或冠状动脉血管病变（VP）的诊断标准；以及可能的危险因素（年龄、性别、糖尿病病程、吸烟、高血压、肥胖、糖化血红蛋白和血脂异常）。获得的患病率为：外周VP = 24.5%，脑VP = 9.5%，冠状动脉VP = 18.1%。30.5%的糖尿病患者有某种形式的大血管病变。所有临床类型的主要危险因素（p < 0.001）是年龄和糖尿病病程，吸烟主要与外周VP相关（p < 0.001），收缩期高血压与脑VP相关（p = 0.03），高甘油三酯血症与外周VP相关（p < 0.01）。
大血管病变影响高比例（30.5%）的2型糖尿病患者。主要危险因素是与吸烟、高血压和高甘油三酯血症相关的因素，所有这些我们都可以影响和控制。
