摘要
目的分析老年人糖尿病合并急性心肌梗死 (AMI)的临床特点 ,以探讨护理对策。方法对老年糖尿病合并AMI患者 86例 (糖尿病组 ) ,非糖尿病AMI1 2 0例 (对照组 ) ,观察其临床症状、主要并发症及预后。结果糖尿病组非典型胸痛、意识障碍、呼吸困难、胃肠道反应发生率显著高于对照组 (P <0 0 1、P <0 0 5 ) ,心力衰竭及住院病死率显著高于对照组 (P <0 0 1 ) ,死亡原因主要是心力衰竭。结论老年人糖尿病合并AMI的患者临床症状不典型 ,并发症及病死率高 ,护理人员应高度警惕。
Objective To analysis the clinical characteristics and nursing methods of diabetes with acute myocardial infarction (AMI) in age patients. Methods 86 cases patients with diabetes and AMI (diabetes group ) were compared with 120 cases patients with AMI But diabetes free (control group)in clinical symptom, mainly complications and prognosis. Results The incidence rate of atypical chest pain, disorder of consciousness, dyspnea, gastrointestinal dysfunction were higher in diabetes group. The in-hospital mortality is markedly higher in diabetes group and themain reason of death was congestive heart failure (CHF) (p<0.01). Conclusion Aged patients with diabetes and AMI have atypical clinical symptom, higher rates of complication and mortality. Nurse should pay more attention to them.
出处
《护士进修杂志》
北大核心
2003年第12期1079-1081,共3页
Journal of Nurses Training
关键词
糖尿病
急性心肌梗死
临床特点
护理
Diabetes Acute myocardial infarction Clinical characteristic
