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急性心肌梗死合并糖尿病患者社区卫生院的急救对策 被引量:3

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摘要 目的:探索急性心肌梗死合并糖尿病患者的急救对策。方法:近两年来在笔者所在医院接受诊治的急性心肌梗死合并糖尿病患者100例,将前50例归为急救组,后50例归为普查组。急救组急救策略:血糖仪、胰岛素泵再加上有短效特性的胰岛素合并注射进行医治。普查组急救策略:将胰岛素注入患者皮下进行治疗,并且要对血糖进行定时、定点的监测。然后将急救组和普查组的TG、LDL-C、血脂、FBG、EF、休克、死亡、CHOL、胸痛情况、梗死情况等做出统计和对比。结果:通过对急救组和普查组所做的TG、LDL-C、血脂、FBG、EF、休克、死亡、CHOL、胸痛、梗死等对比,发现急救组要比普查组情况好。结论:用胰岛素泵进行医治,患者的TG、LDL-C、血脂、FBG、EF、休克、死亡、CHOL、胸痛、梗死情况等要比将胰岛素注入患者皮下并通过血糖定时监测进行治疗要好。因为胰岛素泵可以使血糖在急性心肌梗死合并糖尿病患者中得以降低和稳定,对心肌有利。
作者 范义忠
出处 《中外医学研究》 2013年第28期58-59,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
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  • 1吕海莉,王彦辉,刘宽芝.炎症因子与2型糖尿病动脉粥样硬化[J].中国实用内科杂志,2005,25(4):370-372. 被引量:29
  • 2Govindan S, Kahn D J, Grassman ED, et al. Cardiac myosin binding protein-C:a new biomarker in patients with acute coronary syndrome [J]. J Am Coil Cardiol,2012,59(13):404.
  • 3Suresh G, Diederik WD, Brian Lin,et al. Increase in car- diac myosin binding protein-C plasma levels is a sensitive and cardiac-specific biomarker of myocardial infarction []]. Am J Cardiovasc Dis,2013,3(2):60-70.
  • 4Yazici M,Demircan S,Ibrahimli F,et al. The importance of lipoprotein(a) in pathogenesis of the high risk unstable angina [J]. Anadolu Kardiyol Derq,2006,6( 1 ) : 13-17.
  • 5Tsimikas S, Brilakis ES, Miellr ER,et al. Oxidized phos- pholipids, Lp-alipoprotein, and coronary artery disease [J]. N Enql J Med,2005,353(1):46-57.
  • 6Okura T, Higaki J, Kurata M,et al. Elevated serum uric acid is an independent predictor for cardiovascular events in patients with severe cororlary arte/y stenosis:subanalysis of the Japanese Coronary Artery Disease(JCAD)study [J]. Circ J, 2009,73 (5) : 885-891.
  • 7Chan D, Ng LLI Biomarkers in acute myocardial infarc- tion [J]. BMC Med, 2010,8 : 34.
  • 8Harem C W, Bassand J P, Agewall S, et al.ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The task force for the management of acute coronary syndromes ( ACS ) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology ( ESC ) [J].Eur Heart J, 2011, 32 ( 23 ) : 2999-3054.
  • 9Levine G N, Bates E R, Blankenship J C, et al.2011 ACCF/AHA/ SCAI guideline for percutaneous coronary intervention: executive summary : a report of the american college of cardiology foundation/ american heart association task force on practice guidelines and the society for cardiovascular angiography and interventions[J].Journal of the American College of Cardiology, 2011, 58 ( 7 ) : 2574-2609.
  • 10Simel D L.NICE guideline for management of chronic heart failure in adults [J].Ann Intern Med, 2012, 156 ( 1 ) : 69.

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