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目的探讨老年糖尿病合并急性心肌梗死的临床特点、临床表现、预后。方法选取本院自2008年2月~2009年2月收治的55例老年糖尿病合并急性心肌梗死患者作为观察组,选取同期收治的55例非合并急性心肌梗死糖尿病患者作为参考组,对两组患者临床特点、临床症状、并发症发生情况及预后进行观察比较。结果两组患者发病年龄比较差异无统计学意义(P>0.05),3年随访期内观察组患者心肌梗死再发生率明显大于参考组(P<0.05);相较参考组,两组患者严重心律失常发生率比较差异无统计学意义(P>0.05);观察组患者并发症发生率明显大于参考组(P<0.05),3年随访期内观察组患者死亡率明显大于参考组(P<0.05)。结论糖尿病合并急性心肌梗死患者临床表现多样,并发症较多,预后差,死亡率高,严格控制血糖对于改善预后有着显著作用。
Objective To investigate the clinical features, clinical manifestations and prognosis of elderly diabetic patients complicated with acute myocardial infarction. Methods Fifty-five elderly patients with diabetes mellitus complicated with acute myocardial infarction admitted from February 2008 to February 2009 in our hospital were selected as the observation group. 55 patients with non-AMI were enrolled as the reference group, Clinical features, clinical symptoms, complications and prognosis were observed and compared. Results There was no significant difference in age of onset between the two groups (P> 0.05). The recurrence rate of myocardial infarction in the observation group was significantly greater than that of the reference group (P <0.05) in the 3-year follow-up period. Compared with the reference group, The incidence of arrhythmia was not statistically significant (P> 0.05). The incidence of complications in the observation group was significantly greater than that in the reference group (P <0.05). The mortality rate in the observation group was significantly greater than that in the reference group during the follow-up period of 3 years (P < 0.05). Conclusions Patients with diabetes mellitus complicated with acute myocardial infarction have many clinical manifestations, many complications, poor prognosis and high mortality. Strict control of blood glucose has a significant effect on the prognosis.