本溪市中心城区2型糖尿病合并冠心病的患病率及相关因素调查分析

目的了解2008年至2009年本溪市中心城区2型糖尿病合并冠心病（CHD）的患病率,并对其相关因素进行调查分析。方法对常住本溪市中心城区的2276例2型糖尿病患者问卷调查,采集临床资料,应用SPSS13.0软件进行统计分析。结果2型糖尿病合并CHD患病率为28.34%。女性高于男性,男女患病率均随着年龄增长、病程延长而上升（P〈0.05）。吸烟、BMI≥24kg/m2、高血压、血脂异常、高尿酸血症,伴有视网膜病变（DR）、周围神经病变（DPN）的2型糖尿病患者合并CHD的患病率高于非上述情况者（P〈0.05）。结论增龄、病程增长、吸烟、BMI≥24kg/m2、高血压、血脂异常、高尿酸血症,合并DR、DPN是糖尿病合并CHD的危险因素。因此,严格控制血糖、血脂、血压,同时戒烟、减轻体重、低嘌呤饮食,积极治疗DR、DPN对预防CHD的发生有重要的意义。

The survey analysis of the prevalence of coronary heart disease with type 2 diabetes mellitus and associated factors in the center area of Benxi during 2008-2009

Objective To understand the prevalence of coronary heart disease （CHD） in type 2 diabetes mellitus and analysis of associated factors in type 2 diabetes patients with it during 2008-2009. Methods Questionnaire survey and other clinical data of 2276 type 2 diabetes,living in Benxi urban center,were collected.Statistical analysis was carried with SPSS 13.0 software. Results The prevalence of CHD was 28.34% in type 2 diabetes,it was increased according age in the female sex,but in the male not. it was increased according long duration of diabetes mellitus（P〈0.05）. The prevalence of CHD in Smoking,BMI≥24kg/m^2,hypertension,hyperlipemia,hypemricemia and with one of diabetic retinopathy（DR） and diabetic polyneuropathy （DPN） was significantly higher than those contrasts （P〈0.05）. Conclusions Age,long duration of diabetes mellitus,Smoking,BMI≥24kg/m^2,hypertension,hyperlipemia,hyperuricemia and with one of DR and DPN were risk factors. So,trict control of blood glucose and blood fat and high blood pressure and quit smoking,lose weight,diet low purine,active treatment DR and DPN,and it was significance to prevent the occurrence of CHD.