临床合理用药杂志
臨床閤理用藥雜誌
림상합리용약잡지
Chinese Journal of Clinical Rational Drug Use
2015年
30期
1-2
,共2页
糖尿病%心肌梗死%血糖%心血管疾病
糖尿病%心肌梗死%血糖%心血管疾病
당뇨병%심기경사%혈당%심혈관질병
Diabetes mellitus%Myocardial infarction%Blood glucose%Cardiovascular diseases
目的：探讨血糖控制对糖尿病并发急性心肌梗死患者发生不良心血管事件的影响。方法选取2012年3月—2013年3月到稷山县人民医院治疗的糖尿病并发急性心肌梗死患者168例，根据患者住院后24h 内空腹血糖水平分成 A 组（血糖水平≤7.8mmol/ L）和 B 组（血糖水平>7.8mmol/ L），每组84例。两组患者均给予利尿剂、β受体阻滞剂、抗血小板、他汀类、胰岛素或口服降糖药、钙拮抗剂等治疗。比较两组住院期间及随访期间不良心血管事件的发生情况。结果两组患者住院期间、随访后不良心血管事件发生率比较，差异均有统计学意义（P <0.05）。结论血糖控制情况直接影响着糖尿病并发急性心肌梗死患者不良心血管事件的发生，因此在治疗中需要及时控制患者血糖水平，提高患者的治疗效果。
目的：探討血糖控製對糖尿病併髮急性心肌梗死患者髮生不良心血管事件的影響。方法選取2012年3月—2013年3月到稷山縣人民醫院治療的糖尿病併髮急性心肌梗死患者168例，根據患者住院後24h 內空腹血糖水平分成 A 組（血糖水平≤7.8mmol/ L）和 B 組（血糖水平>7.8mmol/ L），每組84例。兩組患者均給予利尿劑、β受體阻滯劑、抗血小闆、他汀類、胰島素或口服降糖藥、鈣拮抗劑等治療。比較兩組住院期間及隨訪期間不良心血管事件的髮生情況。結果兩組患者住院期間、隨訪後不良心血管事件髮生率比較，差異均有統計學意義（P <0.05）。結論血糖控製情況直接影響著糖尿病併髮急性心肌梗死患者不良心血管事件的髮生，因此在治療中需要及時控製患者血糖水平，提高患者的治療效果。
목적：탐토혈당공제대당뇨병병발급성심기경사환자발생불양심혈관사건적영향。방법선취2012년3월—2013년3월도직산현인민의원치료적당뇨병병발급성심기경사환자168례，근거환자주원후24h 내공복혈당수평분성 A 조（혈당수평≤7.8mmol/ L）화 B 조（혈당수평>7.8mmol/ L），매조84례。량조환자균급여이뇨제、β수체조체제、항혈소판、타정류、이도소혹구복강당약、개길항제등치료。비교량조주원기간급수방기간불양심혈관사건적발생정황。결과량조환자주원기간、수방후불양심혈관사건발생솔비교，차이균유통계학의의（P <0.05）。결론혈당공제정황직접영향착당뇨병병발급성심기경사환자불양심혈관사건적발생，인차재치료중수요급시공제환자혈당수평，제고환자적치료효과。
Objective To explore the effect of blood glucose control on adverse cardiovascular events in patients with diabetes mellitus complicated with acute myocardial infarction. Methods From March 2012 to March 2013 in People's Hospital of Jishan County 168 diabetes complicated with acute myocardial infarction patients were selected,according to the fasting blood glucose levels of patients in hospital within 24h were divided into group A(blood glucose ≤7. 8mmol/ L)and group B(blood glucose > 7. 8mmol/ L),84 cases in each group. Two groups of patients were treated with diuretics,beta - blockers,antiplate-let,statins,insulin or oral medications,calcium antagonists etc. During the hospitalization and follow - up the occurrence of ad-verse cardiovascular events between the two groups were compared. Results During the hospitalization and follow - up the oc-currence of adverse cardiovascular events between the two groups were compared,the differences were statistically significant(P< 0. 05). Conclusion Blood glucose control directly affects the blood sugar control of diabetes complicated with the occurrence of adverse cardiovascular events in patients with acute myocardial infarction,so need to timely control the patient's blood sugar in the treatment,in order to improve the therapeutic effect of patients.
