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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。方法选取本院收治的54例老年糖尿病合并急性心肌梗死患者作为观察组,同时选取本院同期收治的54例老年非糖尿病急性心肌梗死患者作为对照组,回顾性分析两组患者的临床资料,并对两组患者的临床特点进行分析总结。结果观察组患者的心肌梗死再发率明显高于对照组(P<0.05),观察组患者恶心呕吐、无痛型心肌梗死、出汗、双肺啰音、心悸等临床症状的发生率均明显高于对照组(P<0.05),观察组患者的并发症发生率及病死率均明显高于对照组(P<0.05)。结论糖尿病合并心肌梗死患者临床表现较为多样,且具有并发症多、预后差等特点,因此,临床上应严格控制患者血糖,从而有效的改善患者预后。
Objective To investigate the clinical features of elderly diabetic patients with acute myocardial infarction. Methods Fifty-four elderly patients with diabetes mellitus complicated with acute myocardial infarction admitted to our hospital were selected as the observation group. Fifty-four elderly non-diabetic patients with acute myocardial infarction were selected as the control group. The clinical data of two groups were retrospectively analyzed. The clinical features of two groups of patients were analyzed and summarized. Results The recurrence rate of myocardial infarction in the observation group was significantly higher than that in the control group (P <0.05). The incidence of clinical symptoms such as nausea and vomiting, painless myocardial infarction, sweating, pulmonary rales and palpitations were all significantly higher in the observation group (P <0.05). The incidence of complication and mortality in observation group were significantly higher than those in control group (P <0.05). Conclusions The clinical manifestations of patients with diabetes mellitus and myocardial infarction are diverse, and have many complications and poor prognosis. Therefore, patients should be strictly controlled blood glucose, which can effectively improve the prognosis of patients.