【摘要】 目的:调查肇庆市农村地区40岁以上高血压人群糖尿病的流行现状及影响因素。方法:抽取969例肇庆市农村地区40岁以上人群作为研究对象。采用自制调查问卷,收集人口学特征及糖尿病家族史;采用集中体检,记录身高、体重、血糖、血压及血脂水平。采用Logistic回归分析确定高血压人群糖尿病流行病现状及相关影响因素。结果:在纳入对象中,高血压检出率为44.21%(340/969),糖尿病检出率为16.72%(162/969);在高血压人群中,糖尿病检出率为23.23(79/340)。对糖尿病影响因素进行多因素Logistic回归分析,结果表明,高龄、超重、肥胖、向心性肥胖、糖尿病家族史、高血糖、代谢综合征为导致高血压人群患糖尿病的重要因素,差异均有统计学意义(P<0.05)。结论:在农村地区,高血压人群糖尿病的检出率比较高,对于高龄、超重或肥胖,尤其是向心性肥胖、糖尿病家族史、高血糖及具有代谢综合征的人群,应进一步开展糖尿病Ⅰ级预防,降低疾病发病率。更多还原

【Abstract】 Objective: To investigate the prevalence and influencing factors of diabetes mellitus in hypertension population over 40 years old in rural areas of Zhaoqing City. Method: A total of 969 people over 40 years old in rural areas of Zhaoqing city were included in the study. The self-designed questionnaire was used to collect the demographic characteristics and family history of diabetes. The height, weight, blood glucose, blood pressure and blood lipid were recorded by centralized physical examination. Logistic regression analysis was used to determine the prevalence of diabetes and related factors in hypertension population. Result: The detection rate of hypertension was 44.21%(340/969), diabetes was 16.72%(162/969), and diabetes was 23.23(79/340) in hypertension population. The results showed that old age, overweight, obesity, family history of diabetes mellitus, hyperglycemia and metabolic syndrome were the important factors leading to diabetes mellitus, the differences were statistically significant(P<0.05). Conclusion: In rural areas, the prevalence rate of diabetes in hypertension is relatively high. For elderly, overweight or obese, especially those with centripetal obesity, family history of diabetes, hyperglycemia and metabolic syndrome, level Ⅰ prevention should be further carried out to reduce the incidence of disease.更多还原