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目的探讨老年糖尿病合并无痛性心肌梗死的临床特点和预后。方法回顾性分析30例老年糖尿病合并无痛性心肌梗死的临床资料,并将其作为观察组,30例老年非糖尿病合并典型心肌梗死资料作为对照组。结果无痛性心肌梗死组并发症多、死亡率高,与对照组相比差异具有统计学意义。结论应提高对老年糖尿病无痛性心肌梗死的认识,争取早诊断,早治疗,改善预后。
Objective To investigate the clinical features and prognosis of elderly patients with diabetes mellitus complicated with painless myocardial infarction. Methods The clinical data of 30 elderly patients with diabetic mellitus complicated with painless myocardial infarction were retrospectively analyzed. The data of 30 cases of elderly non-diabetic patients with typical myocardial infarction were taken as the control group. Results Painless myocardial infarction group complications and high mortality, compared with the control group, the difference was statistically significant. Conclusions Awareness of painless myocardial infarction with diabetes mellitus should be increased in order to get early diagnosis and early treatment and improve prognosis.