原发性高血压和糖尿病患者与冠心病的关系

目的:探讨高血压、糖尿病患者分别与冠心病的发病关系。方法:将418例住院病人分为原发性高血压组(236例),糖尿病组(182例),分别比较高血压和糖尿病二者并存的发生率,并与冠心病的发病关系。结果:原发性高血压并糖尿病发生率29.2％;糖尿病并高血压发生率为45.6％。高血压组(单纯高血压、高血压井糖尿病)冠心发病率为19.2％和55.0％;糖尿病组(糖尿病、糖尿病并高血压)冠心发病率为21.2％和67.4％,明显高于高血压组2％和12.4％(P<0.01)。女性糖尿病患者并发冠心病发病率较男性高(P<0.01)。结论:本组资料显示高血压、糖尿病与冠心病发病密切相关,三者之间相互并存、相互加重,是我国人群冠心病的重要危险因素。积极防治高血压和糖尿病对降低心血管病的发病率有十分重要的意义。

The Clinic Comparison between Essential Hypertension and Diabetes in Com-plex Coronary Heart Disease

Objective: To study the difference between essential hypertension and diabetes in complex coronary heart disease. Methods: 418 of inpatients are divided into essential hypertension set(236 cases) and diabetes set(182 cases) to compare proba-bility of complex symptom with diabetes and hypertension respectively and the relationship with coronary heart disease. Re-sults; The probabilities of hypertension with complex diabetes and diabetes with complex hypertension were 29. 2% and 45.6% respectively. In hypertension set (divided hypertension and complex diabetes), the probabilities of complex coronary heart were 19.2% and 55.0% respectively, and in diabetes set(divided diabetes and complex hypertension) were 21.2% and 67.4% . According stat, the probability of complex coronary heart disease in patients of diabetes were higher than in one of hy-pertension obviously(P<0.01) ,and in female patients were higher than in male(F<0.01).Conclusion; This data shows that there were close relationship between hypertension and diabetes in complex coronary heart disease, and there are strongly dan-gerous factor of crowd coronary heart disease. it is very important to protect hypertension and diabetes actively for reducing the morbidity of cardiovascular diseases.