Ⅱ型糖尿病与非糖尿病急性心肌梗死临床对比研究

目的：为了解Ⅱ型糖尿病并发急性心肌梗死的临床特点及预后。方法；对102例糖尿病并急性心肌梗死和98例非糖尿病急性心肌梗死做临床对比研究。结果；发现Ⅱ型糖尿病发生无痛性急性心肌梗死的构成比（36．27％）较非糖尿病发生的构成比（11．22％）高（P＜0．01）；发生大面积梗死的构成比（62．74％）比对照组的发生构成比（31．63％）明显升高（P＜0．01）；严重心律失常的发生构成比（65．69％）及死亡构成比（32．35％）均明显高于非糖尿病者（34．69％和11．22％）（P＜0．005），主要死因均为泵衰竭和心跳骤停；入院第1周内的死亡构成比（13．73％）较非糖尿病者的（4．08％）明显升高（P＜0．05）。结论：Ⅱ型糖尿病并发急性心肌梗死患者较无糖尿病的急性心肌梗死患者病情重、预后差、第1周内及住院期的死亡率高。

Clinical Study on Acute Myocardial Infarction induced by Type 2 Diabetes Comparing with by Non-Diabetes

Objective:To investigate the clinical significance and prognosis of acute myocardal infarction (AMI) complicated with type 2 diabetes millitus (DM).Methods:We compared the clinical features of 102 patients of AMI complicated with DM with those of 98 patients of AMI uncomplicated with DM.Results:In patients with DM the rate of painless AMI is higher than in those without DM(36.27% vs 11.22%, P <0.01),as were large infarction size;(62.47% vs 31.63%, P <0.01);severe arrhythmia and death (65.69%,32.35% vs 34.69%,11.22%, P <0.05).For main cause of death both are bump failure and asystole.The inhospital mortality within one week is more higher in patients complicated with DM than in those uncomplicated DM.(13.73% vs 4.08% , P <0.05).Conclusions:The condition of patients is more severe,the prognosis is worse,and the mortality in hospital and within one week is higher in patients of AMI with type 2 DM than in those without DM.