摘要
目的了解壮族2型糖尿病(T2DM)不同BMI患者心血管疾病(CVD)危险因素现状,分析CVD的患病及达标控制情况,为壮族T2DM患者预防及降低CVD风险提供理论依据。方法选取2017-08-01-2020-12-31广西医科大学第一附属医院门诊及住院已确诊的3381例T2DM患者为研究对象,收集其临床资料进行回顾性分析。根据体质量指数(BMI)进行分组:正常体质量组(BMI 18.5~23.9 kg/m^(2))1718例,超重组(BMI 24.0~27.9 kg/m^(2))1168例,肥胖组(BMI≥28.0 kg/m^(2))495例。采用SPSS 17.0对数据进行统计学分析。结果分析结果显示,高中以上文化、轻体力劳动和收入越高者,越容易发生肥胖。腹型肥胖、高血压、高血脂、高尿酸、血脂异常及代谢综合征(MS)的患病率分别为39.10%、41.56%、29.78%、17.36%、72.38%和32.65%,患病率随着BMI的增加而增高,3组之间比较差异有统计学意义,均P<0.05。空腹血糖(FPG)、糖化血红蛋白(HbA1c)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、血压(BP)达标率分别为65.22%、64.77%、66.19%、68.35%、33.13%,随着BMI增高,FPG、HbA1c、TG、HDL-C、BP达标率随之下降,3组之间比较差异有统计学意义,均P<0.05;低密度脂蛋白胆固醇(LDL-C)3组之间比较差异无统计学意义,P>0.05。结论随着BMI水平的增高,壮族T2DM患者CVD危险因素的患病率随之增高,而CVD危险因素的达标率随之降低,提示BMI与心血管风险相关,控制超重或肥胖有利于降低CVD风险。
Objective To understand the current status of cerebrovascular disease(CVD)risk factors in the Zhuang ethnic minority diabetes mellitus type 2(T2DM)patients with different body mass index(BMI),analyze the prevalence and control of CVD,and provide theoretical basis for preventing and reducing CVD risk in the Zhuang ethnic minority T2DM patients.Methods From August 1,2017 to December 31,2020,3381 patients with T2DM diagnosed in the outpatient department and inpatient department of the First Affiliated Hospital of Guangxi Medical University were retrospectively analyzed.According to the BMI,1718 patients were in the normal body mass group(BMI 18.5-23.9 kg/m^(2)),1168 patients were in the super recombination group(BMI 24.0-27.9 kg/m^(2)),and 495 patients were in the obesity group(BMI≥28.0 kg/m^(2)).The statistical analysis was performed with SPSS 17.0 software.Results The analysis results showed that people with high school degree or above,light physical labor and with high income,were more likely to be obese.The prevalence of abdominal obesity,hypertension,hyperlipidemia,hyperuricemia,dyslipidemia and metabolic syndrome(MS)were 39.10%,41.56%,29.78%,17.36%,72.38%and 32.65%respectively.The prevalence increased with the increase of BMI,and the difference was statistically significant(P<0.05).The compliance rates of fasting plasma glucose(FPG),glycosylated hemoglobin type A1C(HbA1c),triglyceride(TG),high density lipoprotein cholesterol(HDL-C)and blood pressure(BP)were 65.22%,64.77%,66.19%,68.35%and 33.13%respectively.With the increase of BMI,the compliance rates of FPG,HbA1c,TG,HDL-C and BP decreased,and the difference was statistically significant(P<0.05);There was no significant difference in low-density lipoprotein cholesterol(LDL-C)between the two groups(P>0.05).Conclusion With the increase of BMI,the prevalence of abdominal obesity,hypertension,hyperlipidemia,hyperuricemia,dyslipidemia,MS and other cardiovascular risk factors in T2DM patients of the Zhuang ethnic minority increases,and the rate of reaching the standard of blood glucose,blood pressure,blood lipid and other CVD risk factors decreases,suggesting that BMI is related to cardiovascular risk,and controlling overweight or obesity is conducive to reducing cardiovascular risk.
作者
徐丹青
戴霞
杨琼
黎学颖
肖英
XU Dan-qing;DAI Xia;YANG Qiong;LI Xue-ying;XIAO Ying(Nursing Department,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)
出处
《社区医学杂志》
CAS
2022年第23期1310-1315,共6页
Journal Of Community Medicine
基金
广西医科大学第一附属医院护理临床研究攀登计划(YYZS2020028)
国家重点研发计划(2016YFC1305700)
广西自然科学基金(2018GXNSFAA050091)
关键词
2型糖尿病
体质量
心血管危险因素
患病率
壮族
type 2 diabetes mellitus
body mass index
cardiovascular risk factors
morbidity
the Zhuang ethnic minority
作者简介
第一作者:徐丹青,女,广西贺州人,硕士,护师,主要从事内科常见疾病护理的临床研究工作。E-mail:527957552@qq.com;通信作者:戴霞,女,广西钦州人,主任护师,主要从事内科常见疾病护理的临床研究工作。E-mail:2655947220@qq.com
