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目的探讨广东省T2DM超重及肥胖患者心血管危险因素的现况与控制现状。方法 2011年8月至2012年3月,对广东省各地区二级以上医院门诊就诊及住院的已确诊T2DM超重及肥胖患者3056例行横断面调查。结果腹型肥胖、高血压、血脂异常及MS的患病率分别为84.8%、66.5%、87.8%和86.0%,肥胖患者患病率高于超重患者(P<0.05)。FPG和HbA1c控制达标率分别为40.6%和25.7%,BP控制达标率为23.9%,TG、LDL-C和HDL-C控制达标率分别为44.2%、31.9%和41.9%。超重患者较肥胖患者BP及TG达标率升高(P<0.05);超重和肥胖患者的FPG、HbA1c、HDL-C及LDL-C达标率差异均无统计学意义(P>0.05)。结论广东省T2DM超重及肥胖患者中MS、高血压、腹型肥胖及血脂异常等心血管危险因素的患病率高,血糖、BP及血脂的控制达标率低,迫切需要采取积极措施控制心血管危险因素。
Objective To investigate the status and control of cardiovascular risk factors for T2DM overweight and obesity in Guangdong Province. Methods From August 2011 to March 2012, 3056 cross-sectional surveys of 3056 T2DM patients with overweight and obesity who were diagnosed and hospitalized in secondary hospitals or above in Guangdong Province were conducted. Results The prevalence of abdominal obesity, hypertension, dyslipidemia and MS were 84.8%, 66.5%, 87.8% and 86.0% respectively. The prevalence of obesity was higher in overweight than in overweight patients (P <0.05). The compliance rate of FPG and HbA1c was 40.6% and 25.7% respectively, the compliance rate of BP control was 23.9%, and the compliance rates of TG, LDL-C and HDL-C were 44.2%, 31.9% and 41.9% respectively. There was no significant difference in the compliance rates of FPG, HbA1c, HDL-C and LDL-C among overweight and obesity patients (P <0.05). Conclusions The prevalence of cardiovascular risk factors such as MS, hypertension, abdominal obesity and dyslipidemia in overweight and obese T2DM patients in Guangdong Province is high, and the control rate of blood glucose, BP and lipids is low. It is urgent to take active measures to control cardiovascular diseases Risk factors.