中国现代医生2024，Vol.62Issue(1)：85-87,91,4.DOI:10.3969/j.issn.1673-9701.2024.01.021
老年2型糖尿病合并急性心肌梗死患者的临床特点及护理对策
Clinical characteristics and nursing strategies of elderly patients with type 2 diabetes mellitus complicated with acute myocardial infarction
许艳玲 1史冬梅 1蒋宏粉 1陈韦1
作者信息
- 1. 南京医科大学第一附属医院(江苏省人民医院)心血管科,江苏南京 210029
- 折叠
摘要
Abstract
Objective To analyze the clinical characteristics and nursing strategies of elderly patients with type 2 diabetes mellitus complicated with acute myocardial infarction(AMI).Methods A total of 138 elderly patients with type 2 diabetes mellitus combined with AMI admitted to Jiangsu Province Hospital from January 2019 to December 2021 were included in observation group,and 346 patients with AMI without diabetes mellitus were enrolled in control group.The clinical data,complications,coronary angiography results and prognosis of two groups were collected and analyzed.Results The proportion of smoking,hypertension and typical chest pain in observation group were significantly lower than those in control group,while the proportion of hyperlipidemia and Killip grade≥Ⅲ were significantly higher than those in control group(P<0.05).The proportion of patients with three branch lesions or left main trunk lesions in observation group were significantly higher than those in control group(P<0.05).The incidences of arrhythmia,acute heart failure and pulmonary infection in observation group were significantly higher than those in control group(P<0.05).There was no significant difference in the incidence of cardiogenic shock and cardiac death during hospitalization between two groups(P>0.05).Conclusion Elderly patients with type 2 diabetes mellitus complicated with AMI have atypical clinical symptoms and more complications.Early identification and active control of cardiovascular risk factors by medical staff can reduce the mortality of patients and improve the long-term prognosis.关键词
老年/2型糖尿病/急性心肌梗死/临床特点Key words
Elderly/Type 2 diabetes mellitus/Acute myocardial infarction/Clinical characteristics分类
医药卫生引用本文复制引用
许艳玲,史冬梅,蒋宏粉,陈韦..老年2型糖尿病合并急性心肌梗死患者的临床特点及护理对策[J].中国现代医生,2024,62(1):85-87,91,4.
