论文部分内容阅读
目的探讨糖尿病对急性心肌梗死患者近期预后的影响。方法选择连续住院的急性心肌梗死患者3572例,按照有无糖尿病将其分为糖尿病组(1008例)和非糖尿病组(2564例),然后进行回顾性分析。结果与非糖尿病组比较,糖尿病组患者年龄、女性、高血压、陈旧性脑梗死、3支或左主干病变、冠状动脉旁路移植术、住院病死率明显增高,而广泛前壁或前壁心肌梗死、非ST段抬高心肌梗死、单支病变、PCI比例明显降低(P<0.05,P<0.01)。logistic回归分析,糖尿病增加急性心肌梗死患者住院死亡,且独立于年龄、广泛前壁或前壁心肌梗死、前间壁心肌梗死、陈旧性脑梗死、冠状动脉造影、PCI等因素存在。结论糖尿病增加急性心肌梗死患者住院死亡风险。
Objective To investigate the effect of diabetes on the short-term prognosis of patients with acute myocardial infarction. Methods 3572 consecutive hospitalized acute myocardial infarction patients were divided into diabetic group (1008 cases) and non-diabetic group (2564 cases) according to the presence or absence of diabetes, and then retrospectively analyzed. Results Compared with non-diabetic group, the age, female, hypertension, old cerebral infarction, three-vessel or left main trunk disease, coronary artery bypass graft and hospital mortality in diabetic patients were significantly higher than those in non-diabetic patients, Infarction, non-ST-elevation myocardial infarction, single vessel disease, and the proportion of PCI were significantly decreased (P <0.05, P <0.01). Logistic regression analysis showed that diabetes mellitus patients with acute myocardial infarction died in hospital and were independent of age, extensive anterior or anterior myocardial infarction, anterior myocardial infarction, old cerebral infarction, coronary angiography, PCI and other factors. Conclusion Diabetes mellitus increases the risk of hospital mortality in patients with acute myocardial infarction.