81例老年糖尿病合并急性心肌梗死的临床治疗分析

The analysis of the clinical treatment for 81 cases of elderly diabetic patients with acute myocardial infarction

目的为了进一步比较老年糖尿病合并急性心肌梗死患者与老年非糖尿病合并急性心肌梗死患者在临床表现以及患者死亡率。方法本文选取了2012年2月至2012年10月间本院收治的相关患者为研究对象,针对患者的临床资料进行了回顾性的分析,对相关结果进行了比较研究。结果在无胸痛、急性左心衰竭、心源性休克、肺部感染、出汗等临床症状的发生率组间比较上看,DM组81例患者的发生比例均高于NDM组81例患者的发生比例,且P均<0.05,差异具有统计学意义;DM组患者的死亡比例为30.87%,显著的高于NDM组患者的死亡比例16.05%,且P<0.05,差异具有统计学意义。结论对于老年糖尿病合并急性心肌梗死患者而言,病情相对较为严重,临床相关的并发症较多,患者的病死率较高,我们在临床实践的过程中要尽早诊断,并采取有针对性的治疗措施和方法。

Objective To further compare the clinical manifestations and mortality for elderly diabetic patients with acute myocardial infarction and senile non-diabetic patients with acute myocardial infarction. Methods The patients in our hospital from February 2012to October 2012 were chosen as the research object. The clinical data for patients was taken for a retrospective analysis. The relevant results were taken for a comparative study. Results Compared in the no chest pain, acute left ventricular failure, cardiogenic shock, pulmonary infection, sweating and other symptoms, the incidence of 81 patients in the DM group was higher than the proportion of the NDM group occurrence ratio of the 81 patients, and P〈0.05, the difference was statistically significant. The mortality rate of DM patients was 30.87%, the NDM patients was significantly higher than the mortality rate of 16.05%, and P〈0.05, the differences were statistically significance. Conclusion For elderly diabetic patients with acute myocardial infarction terms, the condition is relatively serious, and the clinical relevant complications are with high mortality. In the clinical practice of the process, we should take early diagnosis and targeted measures and methods of treatment.