【摘要】 目的分析南宁社区2型糖尿病患者合并高血压的影响因素。方法于2017-05～2017-07采用多阶段随机抽样方法抽取南宁城市地区(青秀区)和农村地区(横县) 2型糖尿病患者496例,其中城市地区299例,农村地区197例。采用问卷调查和体格检查的方式收集患者信息,应用二分类logistic回归分析探讨影响2型糖尿病患者发生高血压的因素。结果本研究共检出糖尿病合并高血压患者293例(59.07%)。二分类logistic回归分析结果显示,较高的文化水平(OR=0.501,95%CI:0.286～0.876)和参加体育锻炼(OR=0.652,95%CI:0.426～0.999)是抑制2型糖尿病患者发生高血压的保护因素,而有饮酒习惯(OR=2.156,95%CI:1.219～3.811)和较大的腰围(OR=1.038,95%CI:1.016～1.060)是促进2型糖尿病患者发生高血压的危险因素。结论 2型糖尿病患者中高血压的患病率较高,在糖尿病管理中应更多地关注患者饮酒行为和腰围的控制,以便更好地控制糖尿病患者的血压,提高患者生命质量。更多还原

【Abstract】 Objective To analyze the influencing factors of type 2 diabetes mellitus patients complicated with hypertension in Nanning communities. Methods A total of 496 patients with type 2 diabetes mellitus were selected from Nanning urban area( Qingxiu District) and rural area( Hengxian County) by multi-stage random sampling method from May 2017 to July 2017. Among them,299 cases were in the urban area and 197 cases were in the rural area. The patients’ information was collected by questionnaire and physical examination,and the factors affecting the occurrence of hypertension in the type 2 diabetes mellitus patients were investigated by binary logistic regression analysis. Results A total of 293 patients( 59. 07%) with diabetes mellitus complicated with hypertension were detected in this study.The results of binary logistic regression analysis showed that higher education level( OR = 0. 501,95% CI: 0. 286-0. 876) and participation in physical exercise( OR = 0. 652,95% CI: 0. 426-0. 999) were the protective factors for inhibiting the occurrence of hypertension in the type 2 diabetes mellitus patients,while drinking habit( OR = 2. 156,95% CI: 1. 219-3. 811) and larger waist circumference( OR = 1. 038,95% CI: 1. 016-1. 060) were the risk factors for promoting the development of hypertension in the type 2 diabetes mellitus patients. Conclusion The prevalence of hypertension in type 2 diabetes mellitus patients is relatively high. In diabetes management,more attention should be paid to the drinking behavior and waist circumference control in order to better control the blood pressure of diabetic patients and improve their quality of life.更多还原