·糖尿病临床流行病学·

　　【摘要】 目的 探讨广东省T2DM超重及肥胖患者心血管危险因素的现况与控制现状。 方法 2011年8月至2012年3月，对广东省各地区二级以上医院门诊就诊及住院的已确诊T2DM超重及肥胖患者3056例行横断面调查。 结果 腹型肥胖、高血压、血脂异常及MS的患病率分别为84.8%、66.5%、87.8%和86.0%，肥胖患者患病率高于超重患者(P<0.05)。FPG和HbA1c控制达标率分别为40.6%和25.7%，血压控制达标率为23.9%，TG、LDL-C和HDL-C控制达标率分别为44.2%、31.9%和41.9%。超重患者较肥胖患者的血压及TG达标率升高(P<0.05);超重和肥胖患者的FPG、HbA1c、HDL-C及LDL-C达标率差异均无统计学意义(P>0.05)。 结论 广东省T2DM超重及肥胖患者中MS、高血压、腹型肥胖及血脂异常等心血管危险因素的患病率高，血糖、血压及血脂的控制达标率低，迫切需要采取积极措施控制心血管危险因素。

　　【关键词】糖尿病， 2型; 超重; 肥胖;心血管危险因素;患病率;达标率

The status of the controlling of cardiovascular risk factors in diabetic patients with overweight or obesity in Guangdong Province CHEN Rong-ping, WANG Jiao, YANG Rui, et al. Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282，China

　　【Abstract】 Objective To investigate the current condition and status of the controlling of cardiovascular risk factors in diabetic patients with overweight or obesity in Guangdong Province (T2DM). Methods A multicentric hospital-based cross-sectional study was carried out in 3056 cases of T2DM patients with overweight or obesity in Guangdong Province from August 2011 to March 2012. Results The total prevalence of central obesity, hypertension, dyslipidemia, and metabolic syndrome (MS) were 84.8%, 66.5%, 87.8%, and 86.0%, respectively. And all the prevalence in patients with obesity were dramatically higher than those in patients with overweight (P<0.05). The control rates of fasting glucose, HbA1c, blood pressure, TG, LDL-C and HDL-C were 40.6%, 25.7%, 23.9%, 44.2%, 31.9%, and 41.9%, respectively. The control rates of blood pressure and TG in patients with overweight were significantly higher than those in patients with obesity(P<0.05).However, the control rates of FPG, HDL-C and LDL-C were similar in patients with overweight and obesity. Conclusion Risk factors for cardiovascular diseases, such as metabolic syndrome, hypertension and dyslipidemia, are prevalent in T2DM patients with overweight/obesity. However, the control rate was low. Therefore, more attention should be paid on risk factors for cardiovascular disease in T2DM patients with overweight/obesity.

　　【Key words】 Diabetes mulltius, type 2; Overweight; Obesity; Cardiovascular risk factors;Prevalence;Control rate