急性心肌梗死并发糖尿病患者糖脂代谢的特点分析

摘要

Objective To explore the acute myocardial infarction and diabetic patients with metabolic characteristics. Methods 107 cases of patients with acute myocardial infarction, according to whether the patients with diabetes were divided into diabetic group (54 cases) and non-diabetic group (53 cases), the other 50 cases of healthy people were selected as control group, compared three groups of blood lipid and blood glucose, glycosylated hemoglobin level. Results Diabetes group and non diabetes group lipid parameters showed no signiifcant difference (P>0.05), but FPG and HbA1c were signiifcantly higher than those in non diabetes mellitus group (P<0.05); diabetic groups were higher than the control group (P<0.05), non-diabetic group in lipids indexes higher than that of the control group (P<0.05), but no signiifcant difference between the two groups of TG and LDL-C (P>0.05). Conclusion AMI patients complicated with diabetes due to hyperglycemia, abnormal lipid metabolism characteristics, clinical detection of GHbA1c and blood lipid levels in favor of condition monitoring.%目的：探究急性心肌梗死并发糖尿病患者糖脂代谢特点分析。方法选择107例急性心肌梗死患者，按是否患有糖尿病分为糖尿病组（54例）和非糖尿病组（53例），另选取同期健康体检者50例作为对照组，比较三组各血脂和血糖、糖化血红蛋白水平。结果合并糖尿病组和非糖尿病组各血脂指标比较无显著差异（P＞0.05），但FPG和HbA1c显著高于非糖尿病组（P＜0.05）；合并糖尿病组各项指标均高于对照组（P＜0.05），非糖尿病组在血脂各指标高于对照组（P＜0.05），但两组TG和LDL-C无明显差异（P＞0.05）。结论AMI并发糖尿病患者因血糖增高，存在明显的脂代谢异常特征，临床检测GHbA1c和血脂水平有利于监测病情。