糖尿病并发急性心梗64例临床的研究.docVIP

糖尿病并发急性心梗64例临床的研究 　　[摘要] 目的 探讨糖尿病并发急性心梗患者的有效治疗方法。方法 采用随机数字表法该院2013年2月―2015年1月期间收治的64例糖尿病并发急性心梗患者分成治疗1组和治疗2组，给予治疗1组患者阿司匹林肠溶片、辛伐他汀胶囊、注射用低分子量肝素钙治疗，在治疗1组患者的基础上，给予治疗2组患者静脉输注疏血通注射液治疗。结果 治疗前两组患者的血糖状况比较差异无统计学意义（P0.05），治疗后治疗2组患者的血糖控制状况优于治疗1组患者（P0.05），临床治疗总有效率为93.8%，高于治疗1组患者的73.8%（P0.05）。术后随访两组患者6个月，治疗1组患者的心血管不良事件发生率为21.8%，高于治疗2组患者的3.1%（P0.05）。 结论 阿司匹林肠溶片、辛伐他汀胶囊、注射用低分子量肝素钙、疏血通注射液联合使用治疗糖尿病并发急性心肌梗死患者，疗效确切。 　　[关键词] 糖尿病；急性心肌梗死；治疗方法；临床疗效 　　[中图分类号] R587 [文献标识码] A [文章编号] 1672-4062（2016）01（b）-0118-03 　　Clinical study of 64 cases with acute myocardial infarction complicated with diabetes mellitus 　　MA Ya-min 　　Department of Endocrinology， Xishuangbanna peoples Hospital of Yunnan Province Jinghong Yunnan 666100 　　[Abstract] Objective To investigate the effective treatment of acute myocardial infarction in patients with diabetes mellitus. Methods using a random number table method in our hospital in 2013 February to January 2015 period from 64 cases of diabetes mellitus complicated with acute myocardial infarction （AMI） patients divided into treatment group 1 and treatment group 2 and give the treatment group 1 patients with aspirin， simvastatin capsules， injection of low molecular weight heparin calcium in the treatment， in the treatment of patients in group 1 were based， giving treatment group 2 patients with intravenous blood of commentary Tong injection treatment. Results there was no significant difference between the two groups before treatment （P0.05）， the blood glucose control in the 2 groups after treatment is better than the treatment of 1 groups of patients （P0.05）， the total effective rate was 93.8%， higher than the 1 groups of patients with 73.8% （P0.05）. The patients were followed up for 6 months and 21.8% months， the incidence of adverse cardiovascular events in the 1 groups was 3.1%， higher than the two （P0.05） in the 2 groups. Conclusion aspirin enteric coated tablets and simvastatin capsules， injection with low molecular weight heparin calcium and Shuxuetong in