2型糖尿病合并急性心肌梗死的Logistic回归分析

Logistic Regression Analysis of Type II Diabetes Mellitus Complicated with Acute Myocardial Infarction

目的:探讨2型糖尿病合并急性心肌梗死患者的临床特点及预后关系。方法:收集176例临床已确诊2型糖尿病患者的临床流行病学资料,根据是否合并急性心肌梗死分为合并组(A组)和非合并组(B组),比较分析两组的临床特点和预后,用多因素Logistic回归分析相关危险因素。结果:A组出现无痛型心肌梗死患者的合并症及病死率明显高于B组,经多因素Logistic回归分析发现,年龄、病程、高血压、糖尿病肾病是A组的独立危险因素。结论:高龄、病程长、高血压和糖尿病肾病是2型糖尿病合并急性心肌梗死的重要危险因素,治疗时必须严格控制血糖和血压,可明显降低本病的死亡率。

Objective To investigate the relationship between of clinical characteristics type 2 diabetes acute myocardial infarction compli- cated with and prognosis of patients. Method 176 cases with typeⅡ diabetic patients with clinical epidemiological data,according to whether the patients with acute myocardial infarction were divided into concurrent group （group A ） and non concurrent group （group B） ,comparative analysis of clinical features and prognosis of two groups, using multivariate Logistic regression analysis of risk factors. Results In A group, complications and mortality in patients with painless myocardial infarction were significantly higher than that in group B,multivariate Logistic regression analysis showed that age, course of disease, hypertension and diabetic nephropathy were independent risk factors for A group. Conclusion The age, course of disease, diabetic nephropathy and hypertension complicated with typeⅡ diabetes is an important risk factor of acute myocardial infarction, treatment must be strict control of blood glucose and blood pressure, can significantly reduce the mortality of this disease.