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目的观察糖尿病合并急性心肌梗死的临床特点,并探讨有效护理对策。方法收集我院2015年01月至2016年11月期间诊治的42例糖尿病合并急性心肌梗死患者,将其设为观察组;同时期收集无糖尿病合并急性心肌梗死患者40例,将其设立为对照组,对比两组患者的临床表现特点、并发症状况、死亡发生原因和血管损害状况。结果观察组患者临床非典型胸痛、意识障碍、呼吸困难及胃肠道反应症状均明显高于对照组(P<0.05);观察组心力衰竭发生率、死亡率均明显高于对照组(P<0.05);而且死亡发生的原因多为心力衰竭。结论糖尿病合并急性心肌梗死临床特点有非典型胸痛、意识障碍等临床症状;高心力衰竭发生率;高死亡率,临床上应采取相应有效的护理对策,来尽量减少并发症及死亡现象的发生。
Objective To observe the clinical features of diabetes mellitus complicated with acute myocardial infarction and to explore effective nursing strategies. Methods Forty-two patients with diabetes mellitus complicated with acute myocardial infarction who were diagnosed and treated in our hospital from January 2015 to November 2016 were selected as the observation group. Forty patients without diabetes mellitus and acute myocardial infarction were collected at the same time, Group, comparing the clinical manifestations of two groups of patients, complications, causes of death and vascular damage. Results The symptoms of atypical chest pain, disturbance of consciousness, dyspnea and gastrointestinal symptoms in observation group were significantly higher than those in control group (P <0.05). The incidence of heart failure and mortality in observation group were significantly higher than those in control group (P < 0.05); and the cause of death mostly heart failure. Conclusions The clinical features of diabetes mellitus complicated with acute myocardial infarction include clinical symptoms such as atypical chest pain and disturbance of consciousness, high incidence of heart failure and high mortality. Clinically, appropriate and effective nursing strategies should be taken to minimize complications and death.