糖尿病并发急性心肌梗死的危险因素及诊治分析

目的分析糖尿病并发急性心肌梗死的危险因素与诊治情况。方法选择150例患糖尿病患者,有糖尿病并发急性心肌梗死的75例患者作为观察组,有糖尿病但无并发急性心肌梗死的75例患者为对照组,对比2组患者的血脂、血糖、尿酸指数等变化情况。结果观察组血脂血糖、总胆固醇、甘油三酯、尿酸值及低密度脂蛋白的数值分别为(9.6±0.3)、(5.22±0.18)、(2.21±0.16)、(0.49±0.15)、(2.96±0.12)明显高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(酮症酸中毒14.67%、乳酸性酸中毒13.33%、非酮症高渗性昏迷的有18.67%)明显高于对照组(酮症酸中毒2.67%、乳酸性酸中毒4%、非酮症高渗性昏迷5.33%),差异有统计学意义(P<0.05)。观察组的危险系数(0级29.33%、1级24%、2级20%、3级13.33%、4级13.33%)明显低于对照组(0级60%、1级16%、2级10.67%、3级8%、4级5.33%),差异有统计学意义(P<0.05)。结论糖尿病并发急性心肌梗死和高血脂血糖及高尿酸值有着密切的关系,对糖尿病患者存在很大的威胁,因此防止糖尿病患者并发急性心肌梗死在控制其危险因素上具有重要的意义。

Objective To explore risk factors of diabetes complicated with acute myocardial infarction （AMI） and diagnosis. Methods From March 2011 to March 2013 150 patients with diabetes were chosen, and according tothe 75 patients with diabetes mellitus complicated with AMI were as observation group and 75 patients without diabetes mellitus complicated with AMI were as control group, blood lipid, blood sugar, uric acid index changes, etc of two groups were compared. Results The blood glucose, total cholesterol, triglyceride and uric acid value and low density lipoprotein cholesterol in observation group were significantly higher than the control group, the difference statistically significant （P〈0.05）. Conclusion Diabetes complicated with AMI and blood glucose and high uric acid values have close relations, there is a big threat in patients with diabetes, thus preventing diabetes patients complicated with AMI on the control of its risk factors is of great importance.