医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
22期
53-53,54
,共2页
糖尿病%急性心肌梗死%临床%分析
糖尿病%急性心肌梗死%臨床%分析
당뇨병%급성심기경사%림상%분석
diabetes%acute myocardial infarction%clinical%analysis
目的探讨糖尿病合并急性心肌梗死患者的临床特点。方法以我院心内科2008年1月～2012年12月收治的糖尿病合并急性心肌梗死患者42例为研究组，以同期收治的非糖尿病合并急性心肌梗死患者41例为研究组，比较2组的临床特点。结果研究组胸痛的发生率低于对照组，其心力衰竭发生率高于对照组，差异均具有统计学意义；2组心律失常及休克发生率的差异没有统计学意义；研究组冠脉多支病变发生率高于对照组，差异具有统计学意义；研究组死亡率高于对照组，差异具有统计学意义。结论糖尿病合并急性心肌梗死症状不典型，病情重，死亡率高，只有充分了解该疾病的临床特点，加强监测病情，及时发现并处理各种并发症，才能提高患者疗效。
目的探討糖尿病閤併急性心肌梗死患者的臨床特點。方法以我院心內科2008年1月～2012年12月收治的糖尿病閤併急性心肌梗死患者42例為研究組，以同期收治的非糖尿病閤併急性心肌梗死患者41例為研究組，比較2組的臨床特點。結果研究組胸痛的髮生率低于對照組，其心力衰竭髮生率高于對照組，差異均具有統計學意義；2組心律失常及休剋髮生率的差異沒有統計學意義；研究組冠脈多支病變髮生率高于對照組，差異具有統計學意義；研究組死亡率高于對照組，差異具有統計學意義。結論糖尿病閤併急性心肌梗死癥狀不典型，病情重，死亡率高，隻有充分瞭解該疾病的臨床特點，加彊鑑測病情，及時髮現併處理各種併髮癥，纔能提高患者療效。
목적탐토당뇨병합병급성심기경사환자적림상특점。방법이아원심내과2008년1월～2012년12월수치적당뇨병합병급성심기경사환자42례위연구조，이동기수치적비당뇨병합병급성심기경사환자41례위연구조，비교2조적림상특점。결과연구조흉통적발생솔저우대조조，기심력쇠갈발생솔고우대조조，차이균구유통계학의의；2조심률실상급휴극발생솔적차이몰유통계학의의；연구조관맥다지병변발생솔고우대조조，차이구유통계학의의；연구조사망솔고우대조조，차이구유통계학의의。결론당뇨병합병급성심기경사증상불전형，병정중，사망솔고，지유충분료해해질병적림상특점，가강감측병정，급시발현병처리각충병발증，재능제고환자료효。
Objective:To investigate the clinical features of the diabetes mel itus complicated with acute myocardial infarction. Methods:42 cases of diabetes mel itus complicated with acute myocardial infarction from January in 2008 to December in 2012 were the study group in our hospital.41 cases of acute myocardial infarction without diabetes mel itus were the control group at the same time in our hospital.To compare the clinical features between 2 groups.Results:The incidence rate of chest pain in the study group was lower than that in the the control group.The difference was statistical y significant.The incidence rate of heart failure in the study group was higher than that in the control group.The difference was statistical y significant.The difference in the incidence rate of arrhythmia and shock had not statistical y significant in 2 groups.The incidence rate of multiple coronary vessel disease in the study group was higher than that in the the control group.The difference was statistical y significant.The mortality rate in the study group was higher than that in the the control group.The difference was statistical y significant.Conclusion:The diabetes mel itus complicated with acute myocardial infarction had atypical clinical symptoms,severe il ness and high mortality rate.It can improve the effect that we ful y understand the clinical features,strengthen to monitor the disease and timely detect and treat the complications.
