老年高血压糖尿病合并急性心肌梗死26例临床观察

摘要

Objective To observe the elderly hypertension diabetes complicating acute myocardial infarction (mi) of clinical manifestations, complications and prognosis. Methods 26 patients with senile hypertension diabetes complicating acute myocardial infarction (observation group) and the other at the same time, with the department of hypertension diabetes complicating acute myocardial infarction treated 30 cases as control (control group), two groups of patients with clinical data were retrospectively analyzed, compare two groups of fasting blood glucose (FBG), glycosylated hemoglobin (HbAlc), complications. Results Observation group of arrhythmiaFBG, HbAlc, myocardial enzymes were higher than control group, signiifcant difference (P<0.05). Conclusion Old age hypertension diabetes complicating acute myocardial infarction, painless type, more complications, mortality is higher, should strictly control the patients' blood sugar, blood lipid levels.%目的：观察老年高血压糖尿病合并急性心肌梗死的临床表现、并发症及预后情况。方法老年高血压糖尿病合并急性心肌梗死患者26例（观察组），另选取同期、同科室收治的非高血压糖尿病合并急性心肌梗死30例作对照（对照组），回顾性分析两组患者临床资料，观察比较两组空腹血糖（FBG）、糖化血红蛋白（HbAlc）、血清酶学情况。结果观察组FBG、HbAlc、心肌酶谱均高于对照组，差异显著（P＜0.05）。结论老年高血压糖尿病合并急性心肌梗死无痛型多见，应严格控制患者血糖、血脂水平。