许艳玲 史冬梅 蒋宏粉 陈韦

    [摘要]?目的?分析老年2型糖尿病合并急性心肌梗死(acute?myocardial?infarction，AMI)患者的臨床特点及护理对策。方法?选取2019年1月至2021年12月江苏省人民医院收治的138例老年2型糖尿病合并AMI患者纳入观察组，无糖尿病的AMI患者346例纳入对照组。收集两组患者的临床资料、并发症、冠状动脉造影结果、预后情况并比较。结果?观察组患者的吸烟率、高血压比例、典型胸痛比例均显著低于对照组，高脂血症比例、Killip分级≥Ⅲ级比例均显著高于对照组(P<0.05)；观察组患者的三支病变或左主干病变比例显著高于对照组(P<0.05)；观察组患者的心律失常、急性心力衰竭、肺部感染发生率均显著高于对照组(P<0.05)，两组患者的心源性休克、住院期间心源性死亡发生率比较差异均无统计学意义(P>0.05)。结论?老年2型糖尿病合并AMI患者的临床症状不典型，合并症较多，医护人员早期识别并积极控制心血管危险因素，可降低患者死亡率，改善其远期预后。

    [关键词]?老年；2型糖尿病；急性心肌梗死；临床特点

    [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?characteristics&nbsp;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 ......