老年2型糖尿病合并急性心肌梗死患者的临床特点及护理对策.docx

老年2型糖尿病合并急性心肌梗死患者的临床特点及护理对策

许艳玲史冬梅蒋宏粉陈韦

[中图分类号]?R541.4????[文献标识码]?A????[DOI]?10.3969/j.issn.1673-9701.2024.01.021

Clinical?characteristics?and?nursing?strategies?of?elderly?patients?with?type?2?diabetes?mellitus?complicated?with?acute?myocardial?infarction

XU?Yanling，?SHI?Dongmei，?JIANG?Hongfen，?CHEN?Wei

Department?of?Cardiovascular，?the?First?Affiliated?Hospital?of?Nanjing?Medical?University，?Jiangsu?Province?Hospital，?Nanjing?210029，?Jiangsu，?China

[Abstract]?Objective?To?analyze?the?clinical?characteristicsnbsp;and?nursing?strategies?of?elderly?patients?with?type?2?diabetes?mellitus?complicated?with?acute?myocardial?infarction?（AMI）.?Methods?A?total?of?138?elderly?patients?with?type?2?diabetes?mellitus?combined?with?AMI?admitted?to?Jiangsu?Province?Hospital?from?January?2019?to?December?2021?were?included?in?observation?group，?and?346?patients?with?AMI?without?diabetes?mellitus?were?enrolled?in?control?group.?The?clinical?data，?complications，?coronary?angiography?results?and?prognosis?of?two?groups?were?collected?and?analyzed.?Results?The?proportion?of?smoking，?hypertension?and?typical?chest?pain?in?observation?group?were?significantly?lower?than?those?in?control?group，?while?the?proportion?of?hyperlipidemia?and?Killip?grade≥Ⅲ?were?significantly?higher?than?those?in?control?group?（P0.05）.?Thenbsp;proportion?of?patients?with?three?branch?lesions?or?left?main?trunk?lesions?in?observation?group?were?significantly?higher?than?those?in?control?group?（P0.05）.?The?incidences?of?arrhythmia，?acute?heart?failure?and?pulmonary?infection?in?observation?group?were?significantly?higher?than?those?in?control?group?（P0.05）.?There?was?no?significant?difference?in?the?incidence?of?cardiogenic?shock?and?cardiac?death?during?hospitalization?between?two?groups?（P0.05）.?Conclusion?Elderly?patients?with?type?2?diabetes?mellitus?complicated?with?AMI?have?atypical?clinical?symptoms?and?more?complications.?Early?identification?and?active?control?of?cardiovascular?risk?factors?by?medica