糖尿病患者冠心病护理经验
Experience of coronary care in diabetes.
作者信息
Harrower A D, Clarke B F
出版信息
Br Med J. 1976 Jan 17;1(6002):126-8. doi: 10.1136/bmj.1.6002.126.
Abstract
During 1968-1973, 94 patients with diabetes were admitted to a coronary care unit (CCU) on 99 occasions with proved myocardial infarction. Altogether 24 of them (25-5%) died, giving an overall mortality at the time of discharge of 24% for the total admissions. This was just significantly higher than the 19% mortality recorded among non-diabetics treated in the same period but was much lower than that among diabetics treated for myocardial infarction before the advent of CCUs. No definite correlation was found between the type of anti-diabetic treatment and either mortality or the incidence of primary ventricular fibrillation. Patients with "poor" control of the diabetes before admission showed a significantly higher mortality than those with "good" control, but there was no significant difference in mortality between those with previous good control and non-diabetics.
摘要
1968年至1973年间，94例糖尿病患者因确诊心肌梗死99次入住冠心病监护病房（CCU）。其中共有24例（25.5%）死亡，总入院患者出院时的总体死亡率为24%。这一死亡率仅显著高于同期治疗的非糖尿病患者记录的19%，但远低于冠心病监护病房出现之前糖尿病患者心肌梗死治疗的死亡率。未发现抗糖尿病治疗类型与死亡率或原发性心室颤动发生率之间存在明确相关性。入院前糖尿病“控制不佳”的患者死亡率显著高于“控制良好”的患者，但既往控制良好的患者与非糖尿病患者之间的死亡率无显著差异。
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