摘要
目的研究老年2型糖尿病（T2DM）合并急性心肌梗死（AMI）患者糖化血红蛋白（HbA1c）与肌酸激酶及其同工酶的相关性。方法根据HbA1c水平，将120例T2DM合并AMI患者分为五组：A组，HbA1c：4．00％-5．99％：B组，HbA1c：6．00％～6．99％：C组，HbA1c：7．00％～7．99％；D组，HbA1c：8．00％-8．99％；E组，HbA1c：≥9．00％。测定每例患者的血清肌酸激酶（CK）、血清肌酸激酶同工酶（CK-MB），计算CK—MB／CK比值。结果五组比较，C组CK—MB／CK比值低于其余四组（P〈0．05）。结论HbA1c在7．00％-7．99％时CK—MB／CK比值最低，提示将HbA1c控制在7．00％-7．99％时老年T2DM合并AMI患者的心肌损伤程度最小。
Objective To investigate the relationship between HbA1 c and CK, CK-MB and CK- MB/CK ratio in the elderly type 2 diabetes （T2DM） patients with acute myocardial infarction （AMI）. Methods One hundred and twenty patients were divided into five groups according to the level of HbAlc： group A, HbAlc： 4.00% -5.99% ; group B, HbAlc：6.00% -6.99% ; group C, HbAlc： 7.00%-7.99%; group D, HbAlc： 8.00% -8.99%; group E, HbAle： ≥9.00%. The CK, CKMB were measured in all the cases, and the CK-MB/CK ratio was calculated. Results The CK-MB/CK ratio in group C was lower than the rest of the four groups （ P 〈 0.05 ）. Conclusions When HbA1 c controlled in 7.00% - 7.99% , CK-MB/CK ratio is the lowest, so that myocardial damage of the elderly T2DM patients with AMI is the smallest.
出处
《中国实用医刊》
2013年第14期42-44,共3页
Chinese Journal of Practical Medicine
