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糖尿病患者发生心肌梗塞后的短期和远期死亡率较无糖尿病患者明显为高,这可能是由于糖尿病患者有较广泛和远端的冠状动脉病变,糖尿病性心肌病变以及自主神经不平衡。本文通过前瞻性研究,探讨葡萄糖-胰岛素输注降低死亡率的作用。 方法 620例过去确诊并接受治疗或首次检出糖尿病而确诊有急性心肌梗塞的患者,按随机盲性分配。306例为葡萄糖-胰岛素输注组,314例为对照组。对照组给予标
Short-term and long-term mortality after DM in diabetic patients is significantly higher than in non-diabetic patients, which may be due to the more extensive and distal coronary lesions, diabetic cardiomyopathy and autonomic imbalance in diabetic patients. This study prospectively investigated the role of glucose-insulin infusion in reducing mortality. Methods Sixty-two patients previously diagnosed and treated or who were initially diagnosed with diabetes and diagnosed with acute myocardial infarction were randomized blindly. 306 cases of glucose - insulin infusion group, 314 cases of control group. Control group given standard