摘要
目的 探讨老年 2型糖尿病并发急性心肌梗死的临床特点及与血糖、血脂、血尿酸等因素的关系。 方法 对 38例老年糖尿病并发急性心肌梗死患者 (糖尿病组 )和 5 2例非糖尿病的老年急性心肌梗死患者 (对照组 )的临床资料进行回顾性对比分析。 结果 与对照组相比 ,糖尿病组发病时无胸痛者多 ,心律失常、心功能不全、感染比例高 ,病死率高 ,预后差。二组血压、血脂、血尿酸水平的差异均有 (极 )显著意义 (P <0 .0 5或P <0 .0 1)。 结论 糖尿病组与对照组在临床表现和血生化指标等方面有所不同。预防为主 ,严格地控制血糖、血压、血脂、血尿酸等危险因素以及适当的抗凝、抗血小板治疗 ,对防治老年糖尿病并发急性心肌梗死有积极的作用。
Objective To investigate the clinical characteristics of type 2 diabetes mellitus (DM) complicated acute myocardial infarction (AMI) of aged patients and the relationship between the disease and blood glucose,lipids and uric acid. Methods The clinical data of 38 aged patients with type 2 DM complicated AMI (DM group) and 52 aged patients with AMI without type 2 DM(control group) were contrasted and restrospectively reviewed. Results By comparing the DM group with the control group,the chest pain patients in the DM group were less than those in the control group,but the patients with cardiac arrhythmias,heart failure and infection in the DM group were more than those in the control group.The DM group had higher death rate and worse prognosis than the control group.The blood pressure,plasma lipids and uric acid in the DM group were significantly different from those in the control group (P<0.05 or P<0.01). Conclusions The clinical manifectations and the biochemistry targets of the two groups are different.Preventing and controlling the blood glucose,blood pressure,plasma lipids and uric acid,anticoagulate and antiplated treatment have good effectiveness in preventing type 2 DM complicated AMI of aged patients.
出处
《中国校医》
2005年第1期91-92,共2页
Chinese Journal of School Doctor
基金
华南理工大学自然科学基金 (2 0 4 -N70 4 0 0 30 )
