2型糖尿病患者发作急性心肌梗死的临床特点和近期预后研究

Clinical Characteristics and In-hospital Outcome Among Acute Myocardial Infarction Patients with Diabetes

目的评价2型糖尿病患者发作急性心肌梗死的临床特点、近期预后。方法入选我院1993年1月—2005年12月初发急性ST段抬高心肌梗死患者1056例,糖尿病176例,按照是否有糖尿病分为两组,比较临床特点、危险因素、住院并发症和病死率进行比较。结果与对照组比较,糖尿病患者年龄高,多合并高血压;冠状动脉多支病变多见;住院期间心功能更差,病死率显著高于对照组。结论合并糖尿病的心肌梗死患者年龄大、住院期预后差。

Objective To investigate clinical characteristics and in-hospital mortality in acute myocardial infarction patients with diabetes.Methods 1056 patients with ST elevated myocardial infarction were divided into two groups according to with or without diabetes.Comparison was made on clinical characteristics,risk factors,complications and in-hospital mortality by statistical method.Results Diabetes patients were older,had more hypertension.Compare to control group,patients with diabetes experienced more heart failure and higher in-hospital mortality.Conclusion Patients with diabetes have poor clinic conditions and worse prognosis.