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目的探讨老年糖尿病合并急性心肌梗死的临床特点。方法选取开封市中医院收治的40例老年糖尿病合并急性心肌梗死患者作为观察组,并选取同期收治的40例非糖尿病合并急性心肌梗死患者作为对照组。对老年糖尿病合并急性心肌梗死患者的临床特点进行总结分析。结果观察组患者发生急性左心衰、无痛性心肌梗死、恶性心律失常的几率明显大于对照组(P<0.05),两组患者梗死部位比较无显著性差异(P>0.05),观察组患者的感染率及病死率均明显高于对照组(P<0.05)。结论老年糖尿病合并急性心肌梗死患者无典型症状,患者伴有多种并发症,具有较高的死亡率,及时明确临床特点对提高该病的治疗效果有着至关重要的作用。
Objective To investigate the clinical features of elderly diabetic patients with acute myocardial infarction. Methods Forty elder patients with diabetes mellitus complicated with acute myocardial infarction admitted to Kaifeng City Hospital were selected as the observation group and 40 non-diabetic patients with acute myocardial infarction were enrolled as the control group. The clinical features of elderly patients with diabetes mellitus complicated with acute myocardial infarction were analyzed. Results The incidence of acute left heart failure, painless myocardial infarction and malignant arrhythmia in the observation group was significantly higher than that in the control group (P <0.05). There was no significant difference in infarct size between the two groups (P> 0.05) The infection rate and mortality rate were significantly higher than the control group (P <0.05). Conclusion There are no typical symptoms in elderly patients with diabetes mellitus and acute myocardial infarction. Patients with multiple complications, high mortality, and timely identification of clinical features play an important role in improving the therapeutic effect of the disease.