糖尿病对急性心肌梗死患者近期预后的影响分析  

Analysis of influence of diabetes on short-term prognosis in patients with acute myocardial infarction

作　　者：刘君[1] 万云高[1] 王慧娟[2] 孙志媛[1] 徐东[1] 

机构地区：[1]首都医科大学附属宣武医院心脏科,北京100053 [2]首都医科大学附属宣武医院急诊科,北京100053

出　　处：《中华老年心脑血管病杂志》2012年第2期146-148,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨糖尿病对急性心肌梗死患者近期预后的影响。方法选择连续住院的急性心肌梗死患者3572例,按照有无糖尿病将其分为糖尿病组(1008例)和非糖尿病组(2564例),然后进行回顾性分析。结果与非糖尿病组比较,糖尿病组患者年龄、女性、高血压、陈旧性脑梗死、3支或左主干病变、冠状动脉旁路移植术、住院病死率明显增高,而广泛前壁或前壁心肌梗死、非ST段抬高心肌梗死、单支病变、PCI比例明显降低(P<0.05,P<0.01)。logistic回归分析,糖尿病增加急性心肌梗死患者住院死亡,且独立于年龄、广泛前壁或前壁心肌梗死、前间壁心肌梗死、陈旧性脑梗死、冠状动脉造影、PCI等因素存在。结论糖尿病增加急性心肌梗死患者住院死亡风险。Objective To explore the influence of diabetes on the short-term prognosis in patients with acute myocardial infarction. Methods The total of 3572 consecutive patients with acute my- ocardial infarction was retrospectively analyzed, which were divided into two groups with or with- out diabetes. Results There were 1008 cases（28.2%） with diabetes in 3572 patients. The per- centages of elder, women, hypertension, old cerebral infarction, triple vessel or left main coronary artery disease, coronary artery bypass graft surgery and hospital mortality in diabetes group were all significantly higher than those of non-diabetes group. But the ratio of extensive anterior or an- terior myocardial infarction, non-ST-segment elevation myocardial infarction, single-vessel dis- ease,coronary artery interventional therapy in diabetes group was significantly statistically de- creased（P（0.05,P^0.01）. By logistic regression analysis,diabetes increased the inpatient mor- tality of patients with acute myocardial infarction, and was independent of age, history of cerebral vascular disease and so on. Conclusion Diabetes can increase the risk of inpatients mortality of patients with acute myocardial infarction.

关 键 词：糖尿病 心肌梗死 危险因素 年龄因素 冠心病 预后 

分 类 号：R542.22[医药卫生—心血管疾病] R587.1[医药卫生—内科学]