糖尿病酮症酸中毒患者心肌酶谱与心电图变化探讨

Diabetic Ketoacidosis in Patients with Myocardial Enzymes and ECG Changes

目的探讨糖尿病酮症酸中毒患者心肌酶谱与心电图变化。方法选取该院在2014年3月—2015年12月期间收治的100糖尿病酮症酸中毒患者,所有患者均行心肌酶谱与心电图检查和心肌酶谱检查。结果 DKA患者急性期心肌酶谱均升同,与缓解期比较,差异有统计学意义(P<0.05);重症DKA患者心肌酶较轻症DKA患者明显升高,差异有统计学意义(P<0.05);DKA急性期患者均有不同程度的心电图异常,其中,窦性心动过速76例,ST-T改变60例。结论心肌酶谱与心电图变化能够作为糖尿病酮症酸中毒患者病情变化以及严重程度的重要指标。

Objective Diabetic ketoacidosis in patients with myocardial enzymes and ECG changes. Methods Our hospital in March 2014- December 2015 during the 100 admitted patients with diabetic ketoacidosis, all patients underwent myocardial enzymes and ECG and myocardial enzymes examination. Results DKA patients with acute myocardial enzymes are the same liter, and remission, the difference was statistically significant（P〈 0 05.）; Enzymes in patients with severe DKA DKA mild disease were significantly increased, the difference was statistically significant（P 〈0 05）; DKA acute phase patients had varying degrees of abnormal electrocardiogram, wherein 76 cases of sinus tachycardia, ST-T changes in 60 cases.Conclusion ECG changes and myocardial enzyme can be used as diabetic ketoacidosis patient＇s condition changes and an important indicator of severity.