MỘT SỐ YẾU TỐ NGUY CƠ GÂY TĂNG HUYẾT ÁP ẨN GIẤU Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYP 2 TẠI BỆNH VIỆN ĐẠI HỌC Y THÁI BÌNH NĂM 2020

Abstract

Objective: To Identify risk factors associated with masked hypertension (MH) in diabetes type 2 patents treated in Thai Binh Medical University Hospital in 2020. Subjects and Methods: a cross-sectional study conducted from Jan - October 2020 in 186 diabetes type 2 patients treated in hospital of Thai Binh University of Medicine and Pharmacy. Results: by using APBM, 106 patients were detected having MH among 186 diabetes type 2 patients. Patients with BMI ≥ 23 were more likely having MH higher than patients with BMI > 23 (OR: 6.9; 95% CI: 3.4 – 14.2). MH were more likely to occur in patients who have family history of hypertension (OR = 5.5; 95% CI: 2.3 – 12.5). Patients with high normal clinic BP were more likely to diagnose of MH significantly (OR = 8.7; 95% CI: 4.4 – 17.5). Smoking and drinking patients have higher risk of MH (OR = 2.1; 95% CI: 1.1 – 4.0; OR = 2.0; 95% CI: 1.02 – 4.1, respectively). Patients with history of dyslipidemia have remarkably more risk of MH than normal patients (OR = 3.4; 95% CI: 1.8 – 6.3).  Others possible risks of MH included: duration from diabetes diagnosed > 5 years; increasing uric acid. No significant statistical difference associated with MH found, related to gender, age, proteinuria level. Conclusion: possible risk of MH in diabetes patients included: BMI ≥ 23, having family history of hypertension, high normal clinic BP.