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目的探讨老年2型糖尿病合并急性心肌梗死死亡原因和防治对策。方法对43例死亡的老年2型糖尿病合并急性心肌梗死患者临床资料进行回顾性分析,另设同期住院的43例老年非糖尿病合并急性心肌梗死生存病例作对照。结果无痛性心肌梗死病例组13例(30.2%),对照组6例(13.9%);再梗死病例组7例(16.3%),对照组4例(9.3%);多部位梗死病例组19例(44.2%),对照组10例(23.3%);急性心衰病例组22例(51%),对照组12例(27.9%)。二组比较差异有显著意义(P<0.05)。结论老年2型糖尿病合并急性心肌梗死预后差,病死率高,须早期控制血糖、血脂,减少并发症。
Objective To investigate the causes of death and prevention and control of senile type 2 diabetes mellitus complicated with acute myocardial infarction. Methods The clinical data of 43 elderly patients with type 2 diabetes mellitus complicated with acute myocardial infarction were retrospectively analyzed. Another 43 cases of elderly non-diabetic patients with acute myocardial infarction were enrolled in this study. Results Thirteen cases (30.2%) in the painless myocardial infarction group and 6 cases (13.9%) in the control group, 7 cases (16.3%) in the reinfarction group and 4 cases (9.3%) in the control group. (44.2%) in control group, 10 cases (23.3%) in control group, 22 cases (51%) in acute heart failure cases and 12 cases (27.9%) in control group. The difference between the two groups was significant (P <0.05). Conclusion Elderly patients with type 2 diabetes mellitus and acute myocardial infarction have poor prognosis and high mortality rate. They should control blood sugar and lipids early and reduce complications.