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目的探讨糖尿病合并高血压患者心血管事件与不同血压水平的相关性。方法选取2011年1月～2012年1月某院收治的2型糠尿病合并高血压患者共200例,根据收缩压分为﹥140mmHg、≤140mmHg、≤130mmHg、≤120mmHg4组,分析2型糠尿病合并高血压4组患者1年的心血管事件发病率。结果收缩压﹥140mmHg组患者的心血管事件发病率显著高于收缩压≤140mmHg、≤130mmHg、≤120mmHg组患者,差异均具有统计学意义(P﹤0.05);当患者收缩压≤140mmHg、≤130mmHg、≤120mmHg时,3组患者的心血管事件发病率差异均无统计学意义(P﹥0.05)。结论收缩压≤140mmHg更可提高糖尿病合并高血压病人的用药依从性,降低副作用。
Objective To investigate the correlation between cardiovascular events and different blood pressure levels in patients with diabetes mellitus and hypertension. Methods A total of 200 type 2 diabetes mellitus patients with type 2 diabetes mellitus admitted to our hospital from January 2011 to January 2012 were selected and divided into two groups according to systolic pressure:> 140mmHg, ≤140mmHg, ≤130mmHg, ≤120mmHg4 1-year incidence of cardiovascular events in 4 diabetic patients with hypertension. Results The incidence of cardiovascular events in patients with systolic blood pressure> 140mmHg was significantly higher than that in patients with systolic blood pressure ≤140mmHg, ≤130mmHg and ≤120mmHg (P <0.05). When patients had systolic blood pressure ≤140mmHg and ≤130mmHg , ≤120mmHg, there was no significant difference in the incidence of cardiovascular events between the three groups (P> 0.05). Conclusions Systolic blood pressure ≤140mmHg can improve medication adherence and reduce side effects in hypertensive patients with diabetes mellitus.