摘要
目的:急性心肌梗死(AMI)早期常见血糖升高。文中旨在探讨非糖尿病AMI患者应激性血糖增高的临床意义。方法:收集83例非糖尿病AMI患者临床资料,根据其入院空腹血糖(FBG)水平,将其分为血糖正常组(FBG<6.1 mmol/L)、血糖轻度升高组(6.1 mmol/L≤FBG<8.0 mmol/L)和血糖明显升高组(FBG≥8.0mmol/L),对比分析各组患者院内死亡、并发症及梗死部位的发生情况。结果:83例AMI患者急性期出现高血糖56例,发生率为67.5%,血糖明显升高组院内病死率、心脏事件及感染发生率显著增加。结论:非糖尿病患者应激性血糖明显升高提示病情重,病死率高,并发症多及预后差。
Objective： Hyperglycemia is common during the early stage of acute myocardial infarction （AMI） , which has potential implications for the outcomes of AMI. This study intends to investigate the clinical significance of hyperglycemia in non-diabetic patients with AMI. Methods ： The clinical data of 83 non-diabetic patients with AM1 were collected and divided into 3 groups based on the fasting blood glucose （FBG） level at admission： normal group （FBS 〈6.0 mmol/L）, slightly increased group （6.1 mmol/L ≤ FBG 〈 8.0 mmol/L） and dramatically increased group （ FBG ≥ 8. 0 mmol/L）. The mortality, complications and infarction locations of the three groups were compared and analyzed. Results： The incidence of hyperglycemia was 67.5%. The mortality, the rate of cardiol events and the incidence of infection were all significantly higher in the slightly increased FBG group. Conclusion： Hyperglycemia in non-diabetic patients with AMI indicates more serious conditions, more complications, worse prognosis and higher mortality.
出处
《医学研究生学报》
CAS
2009年第7期715-718,共4页
Journal of Medical Postgraduates
基金
江苏省应用基础研究基金资助项目(批准号:BJ2000037)
