CAJ | 학술논문

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。
목적：탐토2형당뇨병합병급성심기경사환자적림상특점급예후관계。방법：수집176례림상이학진2형당뇨병환자적림상류행병학자료，근거시부합병급성심기경사분위합병조（A조）화비합병조（B조），비교분석량조적림상특점화예후，용다인소Logistic회귀분석상관위험인소。결과：A조출현무통형심기경사환자적합병증급병사솔명현고우B조，경다인소Logistic회귀분석발현，년령、병정、고혈압、당뇨병신병시A조적독립위험인소。결론：고령、병정장、고혈압화당뇨병신병시2형당뇨병합병급성심기경사적중요위험인소，치료시필수엄격공제혈당화혈압，가명현강저본병적사망솔。
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 typeⅡdiabetic 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 typeⅡdiabetes 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.