论文部分内容阅读
目的为了进一步比较老年糖尿病合并急性心肌梗死患者与老年非糖尿病合并急性心肌梗死患者在临床表现以及患者死亡率。方法本文选取了2012年2月至2012年10月间本院收治的相关患者为研究对象,针对患者的临床资料进行了回顾性的分析,对相关结果进行了比较研究。结果在无胸痛、急性左心衰竭、心源性休克、肺部感染、出汗等临床症状的发生率组间比较上看,DM组81例患者的发生比例均高于NDM组81例患者的发生比例,且P均<0.05,差异具有统计学意义;DM组患者的死亡比例为30.87%,显著的高于NDM组患者的死亡比例16.05%,且P<0.05,差异具有统计学意义。结论对于老年糖尿病合并急性心肌梗死患者而言,病情相对较为严重,临床相关的并发症较多,患者的病死率较高,我们在临床实践的过程中要尽早诊断,并采取有针对性的治疗措施和方法。
Objective To further compare the clinical manifestations and mortality of elderly diabetic patients with acute myocardial infarction and elderly non-diabetic patients with acute myocardial infarction. Methods In this study, we selected the relevant patients admitted to our hospital from February 2012 to October 2012 as the research object. The clinical data of the patients were retrospectively analyzed and the relative results were compared. Results Compared with the incidence of clinical symptoms such as chest pain, acute left heart failure, cardiogenic shock, pulmonary infection and sweating, the incidence of 81 patients in DM group was higher than that in 81 patients in NDM group The difference was statistically significant. The death rate in DM group was 30.87%, significantly higher than that in NDM group (16.05%, P <0.05), and the difference was statistically significant. Conclusion The elderly patients with diabetes mellitus and acute myocardial infarction, the disease is relatively serious, more clinically relevant complications, patients with higher mortality, we in the clinical practice as soon as possible to diagnose and take targeted treatment Measures and methods.