2型糖尿病合并急性心肌梗塞患者血糖控制水平与预后分析

目的探讨2型糖尿病（T2DM）合并急性心肌梗塞（AMI）患者的血糖控制与预后的关系。方法把79例T2DM合并AMI患者分为A组（空腹血糖7．1—11．0mmol／L）34例和B组（空腹血糖低于7．0mmol／L）45例，比较随访2个月后的转归及临床资料。结果2个月后A组死亡率为11．8％，明显低于B组的29．0％（P〈0．05）。结论T2DM合并AMI患者严格控制血糖会增加病人的病死率。

Study on glycemic level control and prognosis analysis in patients with Type 2 diabetes combined with acute myocardial infarction

Objective To investigate the relationship between glycemic level control and prognosis in patients with Type 2 diabetes （T2DM） combined with acute myocardial infarction （AM1）. Methods 79 patients with T2DM and AMI were divided into two groups： 34 cases in group A （fasting blood glucose 7.1 11.0 mmol/L） and 45 cases in group B （fasting blood glucose less than 7.0 mmol/L）, and the outcome and clinical data after follow-up for two months were compared. Results Two months after treatment, the mortality rate in group A （11.8%） was significantly lower than that of group B （29%） （P〈 0.05）. Conclusion It shows that strict glycemic level control will increase the mortality of patients with T2DM and AM1.