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I、高血压和糖尿病的并存:高血压和糖尿病都是多发病,而且二者常合并存在,但是精确的并发率不易确定,这主要是对二者的定义尚无明确一致的意见。肥胖作为一种发病因素,对这二者都有密切的影响。此外,糖尿病时由于并发肾脏损害和小动脉硬化症,造成继发性高血压;而治疗高血压的利尿剂有可能导致糖耐量减低,从而使两种疾病的关系进一步复杂化。关于血压值和血糖值的相关性,据Barrett-Comor等的流行学研究,用肥胖度修正,显示有意义的正相关。据Christlieb报告,糖尿病人群合并高血压的频率是非糖尿病人群的两倍。另一方面,高血压病患者并发糖耐量减低乃至糖尿病的频率也很高。高血压和糖尿病都
I, Hypertension and Diabetes Mellitus: Hypertension and diabetes are frequently-occurring diseases, and the two often coexist. However, the exact concurrency rate is not easy to determine. This is mainly because there is no clear consensus on the definition of the two. Obesity as a causative factor has a close impact on both. In addition, secondary hypertension is caused by diabetes due to concurrent renal damage and arteriosclerosis, whereas diuretics that treat hypertension may lead to impaired glucose tolerance, further complicating the relationship between the two diseases. Correlation between blood pressure and blood glucose levels, according to epidemiological studies such as Barrett-Comor et al., Correlates with obesity and shows a significant positive correlation. According to Christlieb, diabetics have twice as many hypertension associated with non-diabetic people. On the other hand, patients with hypertension are also impaired with impaired glucose tolerance and even diabetes. Both hypertension and diabetes are