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目的探讨糖尿病患者急性心肌梗死的临床特点。方法将汤阴县人民医院心内科2006年6月至2011年6月住院的79例急性心肌梗死患者,根据有无糖尿病分为糖尿病组34例和非糖尿病组45例,观察两组的临床表现,并进行超声及血液检查,比较两组患者的临床特点。结果在临床表现上,糖尿病组发病年龄早,静息状态下发病多,无胸痛症状者多,心力衰竭发生率高。血清学指标比较,两组胆固醇检验差异无统计学意义(P>0.05);糖尿病组血清甘油三酯显著高于非糖尿病组(P<0.05)。心电图比较:糖尿病组收缩功能降低者明显多于非糖尿病组(P<0.05)。结论糖尿病患者尤其是老年人突然出现呼吸困难、晕厥、恶心、呕吐、出汗等症状时应警惕急性心肌梗死的发生,及时检查心电图及心肌坏死标志物。
Objective To investigate the clinical features of acute myocardial infarction in diabetic patients. Methods Totally 79 patients with acute myocardial infarction hospitalized from June 2006 to June 2011 in Tangyin People’s Hospital were divided into 34 cases of diabetes mellitus and 45 cases of non-diabetes mellitus according to the presence or absence of diabetes. The clinical manifestations of the two groups were observed , And ultrasound and blood tests to compare the clinical features of two groups of patients. Results In clinical manifestations, the onset of diabetes in diabetic patients was earlier than those in resting state, with no symptoms of chest pain and high incidence of heart failure. There was no significant difference in serum cholesterol between the two groups (P> 0.05). Serum triglyceride in diabetic group was significantly higher than that in non-diabetic group (P <0.05). Comparison of ECG: Decreased systolic function in diabetic group was significantly more than non-diabetic group (P <0.05). Conclusion Patients with diabetes mellitus, especially in the elderly, should be alert to the occurrence of acute myocardial infarction (MI), ECG, and myocardial necrosis in time due to dyspnea, syncope, nausea, vomiting and sweating.