Profil tensionnel et équilibre glycémique du sujet diabétique type 2 et hypertendu au Centre Hospitalier Universitaire Yalgado Ouédraogo : à propos de 116 Cas

Koudougou Jonas Kologo , A. Tall-Thiam , G.R.C. Millogo , K.J. Nabi , S. Traore , Y. Kambire , Z.M. Some , M.R. Kationo , N.V. Yameogo , A.K. Samadoulogou , P. Zabsonre
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Abstract

Objective

To study the correlation between glycaemic control and blood pressure control, in order to determine the factors associated with blood pressure control in diabetic patients.

Methodology

This was a descriptive cross-sectional study with an analytical aim over a period of 7 months. Patients were recruited on an outpatient basis, and all underwent ABPM, measurement of glycated haemoglobin and creatinine levels, and assessment of compliance with treatment.

Results

Our criteria enabled us to select 116 patients. Women predominated (69%). The mean age of the patients was 62 ± 7 years, with a peak between 60 and 70 years. The mean duration of hypertension was 12 years and that of diabetes 6 years. The most frequently associated cardiovascular risk factor was physical inactivity (71.5%), followed by age. 57.8% of patients had uncontrolled blood pressure at the practice, with systolic hypertension predominating (58.2%). MAPA found that 61.6% of patients were controlled, giving a white-coat hypertension rate of 47.8%. Glycaemic control was observed in 42.2% of cases, and 87% of patients had good renal function. Compliance with treatment was good in 53.4% of cases, and dual therapy was the most commonly used treatment modality (44.8%), followed by triple therapy. The factors associated with poor blood pressure control were glycaemic imbalance, lack of compliance and monotherapy. Combination therapy was associated with good blood pressure control.

Conclusion

The association of hypertension and type 2 diabetes is frequent. The risk of occurrence increases with age. ABPM is the best method of assessing blood pressure control. Optimising blood pressure control in hypertensive diabetics requires optimising glycaemic control.
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目的 研究血糖控制与血压控制之间的相关性,以确定与糖尿病患者血压控制相关的因素。 方法 这是一项描述性横断面研究,旨在对 7 个月内的情况进行分析。患者在门诊招募,所有患者都接受了 ABPM、糖化血红蛋白和肌酐水平测量,并对治疗依从性进行了评估。女性患者占多数(69%)。患者的平均年龄为 62 ± 7 岁,最高年龄为 60 至 70 岁。高血压的平均病程为 12 年,糖尿病的平均病程为 6 年。最常见的心血管风险因素是缺乏运动(71.5%),其次是年龄。57.8%的患者在就诊时血压未得到控制,其中以收缩期高血压为主(58.2%)。MAPA 发现,61.6% 的患者血压得到控制,白大衣高血压率为 47.8%。42.2%的患者血糖得到控制,87%的患者肾功能良好。53.4%的患者对治疗的依从性良好,双重疗法是最常用的治疗方式(44.8%),其次是三重疗法。血压控制不佳的相关因素包括血糖失衡、缺乏依从性和单一疗法。结论:高血压与 2 型糖尿病的关系很常见。高血压与 2 型糖尿病的关联很常见,发生风险随年龄增长而增加。ABPM 是评估血压控制情况的最佳方法。优化高血压糖尿病患者的血压控制需要优化血糖控制。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.
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