糖尿病患者合并急性心肌梗死的临床特点及预后分析

目的　探讨糖尿病 (DM )合并急性心肌梗死 (AMI)的临床特点及预后。方法　回顾性分析 63例患者的临床资料 ,对DM组 ( 2 3例 )合并AMI和无DM的AMI组 ( 4 0例 )的临床特点进行比较。结果　DM组血糖 11.1mmol/L明显高于对照组 6.0mmol/L(P <0 .0 5 ) ,肌酸激酶 (CK)峰值 64 5 .7IU/L明显低于对照组 12 82 .8IU /L(P <0 .0 5 ) ;DM组并发症发生率高心衰 3 4.8% ,对照组 12 .5 % (P <0 .0 5 ) ,病死率是对照组的 2 .6倍。结论　糖尿病合并急性心肌梗死患者心力衰竭发生率高 ,病情较重 ,病死率高。

Analysis of the clinical characters and prognosis of diabetes mellitus complicated with acute myocardial infarction

Objiective To study the clinical characters and prognosis of diabetes mellitus(DM) complicated with acute myocardial infarction (AMI) . Methods 23 cases of DM complicated with AMI were analysed and compared with 40 cases of non-diabetics with AMI. Results Blood glucose in diabetics elevated obviously:diabetics 11.1 mmol/L vs control 6.0 mmol/L( P <0.05).Myocardial enzymes showed that the peaks of enzyme release in diabetics were much lower than that of non-diabetics CK 645.7 IU/L in diabetics,1 282.8 IU/L in non-diabetics ( P <0.05).Heart failure was 34.8% in diabetics while 12.5% in controls( P <0.05);The mortality rate in diabetics with AMI was 2.6 times higher than non-diabetics.Conclusion The mortality rate in DM complicated with AMI was higher thetin than non-diabetics.