背景与目标:高强度抗胰岛素患者心血管风险比无IR增加因此,有关IR基本高血压流行度和决定因素的数据对理解这一健康问题的影响并定义干预或预防策略至关重要。本研究旨在评估IR的流行性并识别连续医院数列基本高血压黑刚果的决定因素

方法论:在刚果民主共和国金沙萨LomoMédical诊所门诊咨询期间,连续选择了105名57+11岁基本高血压非随机非糖尿病参与者(56名男子,53.3%)IR定义为 homistic模型评估-IR++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

结果:IR普及率为48.5%(51/105)。多变分析中,按年龄、体重、腰宽度和BMI调整后,IR风险独立且显著(p<0.05)与吸烟相关95%互信度[CI],1.2-8.5),超硬化寄生性血症(OR2.4!95%CI,1.1-5.3,超生性炎95%CI 1.3-5.6和不受控制高压95%CI2.1-7.4)

结论:近半数基本高血压患者似乎抗胰岛素,心血管风险因素在这一子类患者中更为常见戒烟、处理高压和高血压以及改善高血压管理可帮助预防IR和黑刚联发病和死亡风险