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探讨老年糖尿病合并急性心肌梗死的临床观察

Clinical observation of investigating senile diabetes complicated with acute myocardial infarction
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摘要 目的探讨老年糖尿病合并急性心肌梗死患者的临床特征。方法 20例老年糖尿病合并急性心肌梗死患者作为实验组,15例老年非糖尿病急性心肌梗死患者作为对照组,对两组患者的临床症状、并发症、死亡情况进行对比研究。结果实验组无痛型心肌梗死发生率45.0%高于对照组13.3%、恶心呕吐发生率85.0%高于对照组53.3%、呼吸困难发生率65.0%高于对照组26.7%(P<0.05)。实验组并发症发生率45.0%高于对照组13.3%(P<0.05)。发病1个月内,实验组死亡率35.0%高于对照组6.7%(P<0.05)。结论老年糖尿病合并急性心肌梗死患者比较容易发生并发症,死亡率高,因此糖尿病合并急性心肌梗死老年患者需要尽早治疗,研究早期症状,可以降低其死亡率。 Objective To investigate clinical characteristics of senile diabetes complicated with acute myocardial infarction patients. Methods There were 20 senile diabetes complicated with acute myocardial infarction patients as experimental group, and another 15 senile patients without diabetes and acute myocardial infarction as control group. Comparative research was made on clinical symptoms, complications and mortality in both groups. Results The experimental group had higher incidence of painless myocardial infarction as 45.0% than 13.3% of the control group. It also had incidence of nausea and vomiting as 85.0% and incidence of dyspnea as 65.0% than 53.3% and 26.7% of the control group(P〈0.05). The experimental group had higher incidence of complications as 45.0% than 13.3% of the control group(P〈0.05). Within 1 month of attack, the experimental group had higher mortality rate as 35.0% than 6.7% of the control group(P〈0.05). Conclusion Complications are common in senile diabetes complicated with acute myocardial infarction patients, along with high mortality rate. Therefore, early treatment and symptom research are necessary for senile diabetes complicated with acute myocardial infarction patients to decrease their mortality rate.
机构地区 大庆油田总医院
出处 《中国现代药物应用》 2016年第19期44-45,共2页 Chinese Journal of Modern Drug Application
关键词 糖尿病 急性心肌梗死 老年 并发症 死亡率 Diabetes Acute myocardial infarction Senile Complications Mortality rate
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