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目的:分析与探讨急性心肌梗死合并Ⅱ型糖尿病的临床特征以及预后。方法:选择160例急性心肌梗死患者进行研究,将患者分成两组,每组80例,观察组均为急性心肌梗死合并2型糖尿病患者,对照组为单纯急性心肌梗死患者,将两组患者的临床特点、并发症、生化指标以及梗死部位等进行比较,分析其临床特点以及预后。结果:观察组患者无痛性的AMI比例是32.50%,与对照组15.00%的无痛性AMI比例相比明显较高(P<0.05);观察组患者心力衰竭、感染、心律失常等方面的并发症的发生率分别为32.50%、36.25%以及61.25%,其死亡率为16.25%,与对照组相比明显较高(P<0.05)。结论:在急性心肌梗死合并Ⅱ型糖尿病的患者中比较容易并发心律失常、感染以及心力衰竭等情况,主要为多部位的梗死,患者的心功能比较差,预后比较差。
Objective: To analyze and discuss the clinical characteristics and prognosis of acute myocardial infarction with type Ⅱ diabetes mellitus. Methods: 160 patients with acute myocardial infarction were selected for study, the patients were divided into two groups, 80 cases in each group, the observation group were acute myocardial infarction with type 2 diabetes mellitus, the control group was simple acute myocardial infarction patients, the two groups of patients Clinical features, complications, biochemical parameters and infarct sites were compared, and analyzed its clinical features and prognosis. Results: The painless rate of AMI in the observation group was 32.50%, which was significantly higher than that of the painless AMI in the control group of 15.00% (P <0.05). In the observation group, heart failure, infection and arrhythmia The complication rates were 32.50%, 36.25% and 61.25%, respectively. The mortality rate was 16.25%, which was significantly higher than that of the control group (P <0.05). Conclusion: It is easy to complicated with arrhythmia, infection and heart failure in patients with acute myocardial infarction and type Ⅱ diabetes. It is mainly characterized by multi-site infarction. Patients have poor cardiac function and poor prognosis.