东地中海地区糖尿病患者的血压控制:系统性审查和元分析
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Updated: Jun 18, 2025

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Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
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Amir Hossein Behnoush1,2,3, Sepehr Khosravi1, Fateme Ziamanesh2
1Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
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概括
血压控制仍然是东地中海地区糖尿病患者面临的重大挑战. 这一系统性审查发现,只有36.8%的高血压糖尿病患者实现了他们的血压目标.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 由于相关的不良结果,高血压管理对糖尿病患者至关重要.
- 在东地中海地区 (EMR) 的高血压糖尿病患者中,血压控制率尚未得到充分证实.
研究的目的:
- 在EMR国家系统审查和元分析高血压糖尿病患者的血压控制率.
- 为了确定影响该人口血压控制的因素.
主要方法:
- 在多个数据库 (PubMed,Scopus,Embase,Cochrane,Web of Science) 进行了系统的搜索,直到2023年1月.
- 包含的研究报告了高血压2型糖尿病患者中控制血压的比例 (<140/90或<130/80 mmHg).
- 随机效应元分析被用于汇集流行数据,根据性别,研究设计,国家和血压切断值进行分组分析.
主要成果:
- 包含27956名参与者的20项观察性研究被纳入了元分析.
- 在两种性别中,整体血压控制率为36.8% (95% CI=29.1%-45.3%).
- 流行率因性别而异:女性为53.2%,男性为43.5%.
结论:
- 东地中海地区的高血压糖尿病患者没有达到血压控制目标.
- 建议加强对高血压护理质量的关注,以管理2型糖尿病.
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