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目的探讨合并2型糖尿病的急性心肌梗死患者的临床特点。方法对96例急性心肌梗死(AMI)患者按是否合并2型糖尿病分为两组,每组48例,合并2型糖尿病为A组,无2型糖尿病为B组,对其临床资料进行对照分析。结果 A组表现为无痛性AMI者明显高于B组,A组并发高血压、心律失常和心力衰竭者也明显多于B组(P<0.05)。两组心肌梗死患者心肌酶CK及CK-MB两组比较无差异(P>0.05),但血脂和血糖比较,A组明显高于B组(P<0.05)。结论合并2型糖尿病的急性心肌梗死患者临床表现复杂,应严密观察,并加强血脂和血糖的控制。
Objective To investigate the clinical features of patients with acute myocardial infarction complicated with type 2 diabetes mellitus. Methods 96 patients with acute myocardial infarction (AMI) were divided into two groups according to whether they had type 2 diabetes mellitus or not: 48 cases in each group, group A with type 2 diabetes mellitus, group B without type 2 diabetes mellitus, and their clinical data were analyzed comparatively . Results In group A, the painless AMI was significantly higher than that in group B, and the incidence of hypertension, arrhythmia and heart failure in group A was significantly higher than that in group B (P <0.05). There was no significant difference between CK and CK-MB in two groups (P> 0.05). However, the levels of serum lipid and blood glucose in group A were significantly higher than those in group B (P <0.05). Conclusions The clinical manifestations of patients with acute myocardial infarction complicated with type 2 diabetes are complex and should be closely observed and the control of blood lipid and blood glucose should be strengthened.