糖尿病患者合并急性心肌梗死的临床特点及预后分析

Analysis of the clinical characters and prognosis of diabetes mellitus complicated with acute myocardial infarction

目的 探讨糖尿病 (DM )合并急性心肌梗死 (AMI)的临床特点及预后。方法 回顾性分析 63例患者的临床资料 ,对DM组 ( 2 3例 )合并AMI和无DM的AMI组 ( 4 0例 )的临床特点进行比较。结果 DM组血糖 11.1mmol/L明显高于对照组 6.0mmol/L(P <0 .0 5 ) ,肌酸激酶 (CK)峰值 64 5 .7IU/L明显低于对照组 12 82 .8IU /L(P <0 .0 5 ) ;DM组并发症发生率高心衰 3 4.8% ,对照组 12 .5 % (P <0 .0 5 ) ,病死率是对照组的 2 .6倍。结论 糖尿病合并急性心肌梗死患者心力衰竭发生率高 ,病情较重 ,病死率高。

Objiective To study the clinical characters and prognosis of diabetes mellitus(DM) complicated with acute myocardial infarction (AMI) . Methods 23 cases of DM complicated with AMI were analysed and compared with 40 cases of non-diabetics with AMI. Results Blood glucose in diabetics elevated obviously:diabetics 11.1 mmol/L vs control 6.0 mmol/L( P <0.05).Myocardial enzymes showed that the peaks of enzyme release in diabetics were much lower than that of non-diabetics CK 645.7 IU/L in diabetics,1 282.8 IU/L in non-diabetics ( P <0.05).Heart failure was 34.8% in diabetics while 12.5% in controls( P <0.05);The mortality rate in diabetics with AMI was 2.6 times higher than non-diabetics.Conclusion The mortality rate in DM complicated with AMI was higher thetin than non-diabetics.