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

摘要

Objective To investigate the relationship between glycemic level control and prognosis in patients with Type 2 diabetes (T2DM) combined with acute myocardial infarction (AMI).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 AMI.%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7.1～11.0 mmol/L)34例和B组(空腹血糖低于7.0 mmol/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.