摘要
目的:探讨三种血糖控制方法用于2型糖尿病合并急性心肌梗塞血糖控制的临床效果。方法:随机抽取2型糖尿病合并急性心肌梗塞患者90例,按照患者血糖控制方法分为A组、B组和C组。治疗2个月后检测三组患者餐后血糖及糖化血红蛋白水平。并统计急性左心衰、低血压和心律失常发生例数和发生率。结果:A组平均血糖浓度、糖化血红蛋白含量、均在血清血糖浓度和糖化血红蛋白含量正常范围内,且显著低于B组和C组(p<0.05)。A组急性左心衰、低血压、心律失常的发生均显著低于B组和C组(p均<0.05)。结论:胰岛素治疗+饮食干预+生活习惯干预的血糖控制方法控制血糖的效果最佳,且可广泛应用于2型糖尿病合并急性心肌梗塞血糖控制。
Objective：To explore the method for three kinds of blood glucose control in type 2 diabetic patients with acute myocardial infarction clinical effect of blood glucose control.Methods：with the extraction of type 2 diabetes with acute myocardial infarction in 90 cases,in accordance with the patients blood glucose control method is divided into A group,B group and C group.After 2 months of treatment of three groups of patients with postprandial blood glucose and glycated hemoglobin levels.And statistics of acute left heart failure,hypotension and cardiac arrhythmia cases and incidence.Results：in A group,the mean blood glucose concentration,glycosylated hemoglobin content,both in serum glucose concentration and hemoglobin A1c levels within the normal range,and lower than that of group B and group C（p0.05）.A group of acute left heart failure,hypotension,arrhythmia were significantly lower than those in B group and C group（all P 0.05）.Conclusion：insulin therapy and dietary interventions ＋ lifestyle intervention on glycemic control method to control blood glucose is the best,and can be widely used in type 2diabetes mellitus complicated with acute myocardial infarction blood glucose control.
出处
《求医问药（下半月刊）》
2012年第6期272-273,共2页
Seek Medical and Ask The Medicine
关键词
2型糖尿病
急性心肌梗塞
血糖
糖化血红蛋白
type 2 diabetes
acute myocardial infarction
blood sugar
glycosylated hemoglobin
