初诊急性心肌梗死老年女性糖尿病患者的临床特征
霍晓丽，倪子琴，孙冠军，姚怀娟，潘琳琳，刘敏华，付怀栋
连云港市灌云县人民医院内科，江苏 连云港，222002
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摘要：
目的 对比分析老年女性糖尿病患者初发急性心肌梗死的临床表现及冠状动脉造影（CTA）特点。方法 将临床确诊的 41例老年女性糖尿病初发急性心肌梗死患者作为A组，41例不伴心肌梗死的老年糖尿病患者作为 B 组。两组患者均行 CTA。比较两组临床资料、心电图特点，冠脉病变支数及狭窄程度等。结果 与 B 组相比，A 组患者年龄大、HbA1c水平高、糖尿病病程长、TG 水平高、LDL-C 水平低、冠状动脉病变狭窄程度重（P<0.05）。A 组患者 ST段抬高型心肌梗死较少（31.7%），梗死部位多为下壁（46.3%）。结论 初发心肌梗死糖尿病老年女性患者临床表现有一定特征，对于血糖控制较差病例应及早预防。
关键词：老年女性；糖尿病；心肌梗死；冠状动脉造影（CTA）
中图分类号：R541.4；R587.1 文献标志码：A文章编号：2096-1413(2018)09-0032-02
Clinical features of primary acute myocardial infarction in elderly women
HUO Xiao-li,NIZi-qin,SUN Guan-jun,YAO Huai-juan,PAN Lin-lin,LIU Min-hua,FU Huai-dong
(InternalMedicineDepartment,thePeople````sHospitalofGuanyun County,Lianyungang222002,China)
ABSTRACT: Objective To comparatively analyze the clinicl features and imaging changes of CTA of primary acute my ocardial infarction in elder female diabetic patients. Methods Forty-one elder female diabetic patients with primary acute myocardial infarction were selected as the group A and 41 elder diabetic without acute myocardial infarction were selected as the group B. All patients under went CTA. The clinical data,characteristics of ECG,number of diseased coronary artery and degree of coronaryarterystenosiswerecompared between the two groups. Results Compared with the group B,the patients in the group A were older,higher in HbA1c,longer in the course of diabetes,higher in TG,lower in LDL-C,and more serious coronaryartery stenos is(P<0.05).In the group A,the patients with ST segmentelevation my ocardialinfarction were less(31.71% ),and the infarctsites were mostly the inferiorwall(46.34% ).Conclusion The clinical manifestations of early onsetmyocardial infarction in elderly women with diabeteshave certain characteristics,and early prevention of poor
blood glucose control cases should be taken as early as possible.
KEYWORDS: elderly female; diabete smellitus; myocardial infarction;coronary angiography(CTA)
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