Akyrou D, Plati C, Baltopoulos G, Anthopoulos L
Intensive Crit Care Nurs. 1995 Oct;11(5):252-5. doi: 10.1016/s0964-3397(95)81693-3.
The purpose of this study was to investigate the pain intensity and duration, and to assess the pain control intervention, in patients with acute myocardial infarction (AMI).
Ninety-seven patients (18 diabetics and 79 non-diabetics) admitted to the hospital with chest pain were included in this study. Pain was measured on the numerical rating scale (NRS) 0-10, where 0 means no pain and 10 unbearable pain. All patients were followed for 12 hours, after the last chest pain episode. The data were statistically evaluated with the Student's t-test and chi square (chi 2).
The pain in AMI patients with diabetes mellitus was lower in intensity (P < 0.002) and shorter in duration (P < 0.000) respectively, compared with the non-diabetic AMI patients. The intensity of pain in patients with an anterior infarction tended to be higher (P < 0.03) than in those with an inferior infarction. Finally, the systolic blood pressure fell significantly (P < 0.000) 90 min after admission. No other significant differences were found.
本研究旨在调查急性心肌梗死（AMI）患者的疼痛强度和持续时间，并评估疼痛控制干预措施。
本研究纳入了97例因胸痛入院的患者（18例糖尿病患者和79例非糖尿病患者）。疼痛采用数字评分量表（NRS）0 - 10进行测量，其中0表示无疼痛，10表示难以忍受的疼痛。在最后一次胸痛发作后，对所有患者进行12小时的随访。数据采用学生t检验和卡方（χ2）进行统计学评估。
与非糖尿病AMI患者相比，糖尿病AMI患者的疼痛强度较低（P < 0.002），持续时间较短（P < 0.000）。前壁梗死患者的疼痛强度往往高于下壁梗死患者（P < 0.03）。最后，入院90分钟后收缩压显著下降（P < 0.000）。未发现其他显著差异。
