ID 102832
タイトルヨミ
トクシマ コウケツアツ トウニョウビョウ study 2011 : コウケツアツ トウニョウビョウ ガッペイ レイ ニ カンスル タシセツ ケンキュウ
著者
西内, 健 川島病院
長瀬, 教夫 東徳島医療センター
小松, まち子 川島病院
福島, 泰江 福島内科
大櫛, 日出郷 大櫛内科循環器科
三谷, 裕昭 三谷内科
矢田, 健太郎 矢田医院
赤池, 雅史 徳島大学大学院ヘルスバイオサイエンス研究部医療教育学 徳島大学 教育研究者総覧 KAKEN研究者をさがす
日浅, 芳一 徳島赤十字病院
キーワード
diabetes mellitus
hypertension
antihypertensive therapy
antidiabetes therapy
risk factor
choresterol level
資料タイプ
学術雑誌論文
抄録
Cardiologists and diabetologists in Tokushima Prefecture investigated patients with hypertension and diabetes mellitus on treatment in2011. The findings were compared with our year‐2004 data. The study population comprised 236 patients with hypertension and diabetes mellitus being treated by cardiologists(C2011group), and 395 patients with the same condition being treated by diabetologists(D2011group). The mean number of antihypertensives used per patient was1.9for the C2011group and1.6for the D2011group. In these two groups, calcium antagonists were the most frequently used drugs. Renin-angiotensin system(RAS)inhibitors were used in71.5% of the patients in the C2011group and70.0% in the D2011group. The ratio of patients meeting the blood pressure criteria of the Japan Hypertension Society Guidelines was 21.6% for the C2004group,22.9% for the D2004group,29.1% for the C2011group, and18.2% for the D2011group. The mean number of antidiabetics used per patient was1.3for the two groups, glimepiride being most frequently used(38.5% for the C2011group,58.1% for the D2011group), followed by α-glucosidase inhibitors and pioglitazone. Frequency of use of biguanide increased compared with2004. The ratio of patients with HbA1c<6.5% was40.7% for the C2004group, 21.9% for the D2004 group, 46.5% for the C2011 group, and 49.0% for the D2011 group ; a significant improvement was observed in the D2011group compared with the D2004group. The serum cholesterol control rate was49.7% for the C2004group,45.0% for the D2004group,60.9% for the C2011group, and56.5% for the D2011group. The ratio of patients achieving good control for all three parameters(blood pressure, blood glucose level, serum lipid level)was low at7.6% for the C2004group,6.7% for the D2004group,9.4% for the C2011group, and9.0% for the D2011 group. This managerial situation for the condition is unsatisfactory, necessitating efforts for even better control.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
68
3-4
開始ページ
111
終了ページ
118
並び順
111
発行日
2012-08-25
備考
フルテキストファイル
言語
jpn
部局
医学系