Risk factors and follow-up of diabetes patients with hypertension
10.3760/cma.j.issn.1000-6699.2013.02.007
- VernacularTitle:糖尿病合并高血压病患者的危险因素及随访分析
- Author:
Zhijun WANG
;
Shouling WU
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Hypertension;
Risk factors;
Follow-up;
Cardiovascular and cerebrovascular events
- From:
Chinese Journal of Endocrinology and Metabolism
2013;(2):120-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the prevalence and risk factors related to the diabetic patients with hypertension in the Kailuan group workers.Methods A total of 9 498 type 2 diabetic patients were followed up for 5 years,regarding myocardial infarction,stroke,and death incident.The cumulative incidence of hypertension in diabetic patients and the evaluated risk factors of hypertension were analyzed.Results The prevalence of hypertension in 9 489 subjects with diabetes was 63.3%,higher than that in subjects without diabetes(42.0%,P<0.01).Aging,smoking,obesity,high blood levels of triglycerides,total cholesterol,and low-density lipoprotein-cholesterol were the risk factors of diabetic patients with hypertension,in whom the morbidity of myocardial infarction,cerebral infarction,cerebral hemorrhage,and renal dysfunction was 3.3%,6.0%,0.9%,and 18.8%,respectively,all higher than those (2.1%,2.6%,0.3%,and 10.9%) in diabetic patients without hypertension (P<0.01).By the end of follow-up for 5 years,incidences of cerebral infarction,cerebral hemorrhage,and death in diabetic patients with hypertension were higher than those with normal blood pressure (P<0.05),but no difference in incidences of myocardial infarction between the 2 groups (P>0.05).The 5-years cumulative incidence of hypertension in the diabetic population was 40.1%.Male sex,smoking,snoring,obesity,and hypertriglyceridemia were the risk factors of hypertension in diabetic patients (P < 0.05).Conclusion The prevalence and the 5-years cumulative incidence of hypertension in diabetic patients increased significantly.Diabetic patients with hypertension may have higher risk of cerebrovascular events and kidney dysfunction.