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目的探讨老年高血压糖尿病合并急性心肌梗死患者的临床特征、并发症及预后情况。方法将我院收治的老年高血压糖尿病合并急性心肌梗死患者52例作为观察组,并将同期收治的老年非高血压糖尿病合并急性心肌梗死患者作为对照组。观察并比较两组血糖、血脂、血清酶学变化、糖化血红蛋白并发症情况及预后状况。结果观察组患者胸痛发生率显著低于对照组,其他并发症发生率显著高于对照组,差异有统计学意义(P<0.05);观察组患者糖化血红蛋白以及空腹血糖血糖均高于对照组,差异有统计学意义(P<0.05)。结论老年高血压糖尿病合并急性心肌梗死患者的并发症(除胸痛外)发生率与患者死亡率较高。在对患者血糖进行严密监测的情况下,对患者及时进行诊断,并积极处理各种出现的并发症,能够有效减少该疾病的死亡率。
Objective To investigate the clinical features, complications and prognosis of elderly hypertensive diabetic patients with acute myocardial infarction. Methods Fifty-two elderly patients with hypertension-type diabetes mellitus complicated with acute myocardial infarction admitted to our hospital were selected as the observation group and the elderly patients with non-hypertensive diabetes mellitus complicated with acute myocardial infarction treated at the same period were taken as the control group. Observe and compare the two groups of blood glucose, blood lipid, serum enzyme changes, glycosylated hemoglobin complications and prognosis. Results The incidence of chest pain in the observation group was significantly lower than that in the control group, and the incidence of other complications was significantly higher than that in the control group (P <0.05). HbA1c and fasting blood glucose and blood glucose in the observation group were higher than those in the control group, The difference was statistically significant (P <0.05). Conclusion Complications (except chest pain) and mortality in elderly hypertensive diabetic patients with acute myocardial infarction are higher. In the context of close monitoring of patients’ blood glucose, timely diagnosis of patients and active treatment of various complications, can effectively reduce the mortality rate of the disease.