【摘要】 目的 探讨安庆市农村地区中老年高血压患者甘油三酯和血糖的相关性。方法 2020年6—9月在安庆市农村地区采用多阶段随机抽样方法随机抽取7个乡镇的中老年高血压患者，通过问卷调查、体格检查和实验室检验的方式获取研究对象的相关资料信息。采用二分类Logistic回归模型分析甘油三酯和血糖的关系。结果 共纳入安庆市农村地区中老年高血压患者2 339例，其中男1 166例（49.85%），年龄≥65岁2 018例（86.28%），甘油三酯异常365例（15.60%）。二分类Logistic回归结果显示，经调整性别、体重指数（BMI）等相关因素后，甘油三酯每增加1 mmol/L，血糖异常的风险增加0.258倍（OR=1.258）；将甘油三酯按临床临界值划分为3组，与最低组（<1.7 mmol/L）的患者相比，甘油三酯边缘升高（1.7 mmol/L≤TG<2.3 mmol/L）与甘油三酯升高（≥2.3 mmol/L）的患者血糖异常的风险分别增加0.771(OR=1.771)和1.392倍（OR=2.392）。结论 安庆市农村地区中老年高血压患者的甘油三酯与血糖呈正相关，提示要加强血糖和血脂的监测，预防并控制血糖、血脂异常和心血管疾病的发生发展。更多还原

【Abstract】 Objective To investigate the correlation between triglyceride(TG)and blood glucose in middle-aged and elderly patients with hypertension in rural areas of Anqing City.Methods From July to September 2020,Middleaged and elderly patients with hypertension in 7 towns were randomly selected in rural areas of Anqing City by multi-stage random sampling method. The data of the respondents were obtained through the questionnaire survey,physical examination,and laboratory examination. The correlation between TG and blood glucose was analyzed by the binary Logistic regression model.Results A total of 2 339 middle-aged and elderly patients with hypertension in rural areas of Anqing City were included in this study,including 1 166 male patients(49.85%),2 018 patients(86.28%)≥65 years old,and 365 patients(15.60%)with abnormal TG. Binary Logistic regression results showed that after adjusting for gender,body mass index(BMI),and other related factors,the risk of abnormal blood glucose increased by 0.258 times with each increase of1 mmol/L TG(OR=1.258). TG was divided into three groups according to the clinical critical value. Compared with the lowest group(TG<1.7 mmol/L),patients with elevated TG margins(1.7 mmol/L≤TG<2.3 mmol/L)and elevated TG(TG≥2.3 mmol/L)had a 0.771 fold(OR=1.771)and 1.392 fold(OR=2.392)increased risk of abnormal blood glucose,respectively.Conclusions There is a positive correlation between TG and blood glucose in middle-aged and elderly patients with hypertension in rural areas of Anqing City. It is suggested to strengthen the monitoring of blood glucose and blood lipid to prevent and control abnormal blood glucose and blood lipid and the occurrence and development of cardiovascular diseases.更多还原