摘要
目的研究急性心肌梗死时应激性高血糖对患者心功能、心律失常及院内死亡率的影响。方法200例急性心肌梗死患者被分成非糖尿病组及糖尿病组,前者又被分为应激性血糖增高组及血糖正常组,并详细记录三组患者的临床资料。结果非糖尿病血糖增高组心力衰竭、心律失常及院内死亡率均高于血糖正常组,而血糖>10.0 mmol/L组,则上述指标与糖尿病患者相似。结论急性心肌梗死时伴有应激性高血糖可增加患者心力衰竭、心律失常及院内死亡率。
Objective To investigate the effect of stress hyperglycaemia on in-hospital mortality,congestive heart failure and arrhythmix in patients with acute myocardial infarction.Methods 200 cases were divided into non-diabetes group and known diabetes group,anterior group again were divided into abnormal glucose group and normal glucose group.Results During follow-up,nondiabetic group with hyperglycemia had more risks in congestive heart failure and arrhythmia than normal glucose group did.When blood glucose level〉10.0 mmol/L or more,in-hospital mortality,congestive heart failure and arrhythmia in these patients were similar to that in patients who had established diabetes.Conclusion Stress hyperglycaemia in patients with myocardial infarction is associated with an increased risk of in-hospital mortality and congestive heart failure,arrhythmia.
出处
《中国临床保健杂志》
CAS
2009年第6期577-579,共3页
Chinese Journal of Clinical Healthcare
关键词
心肌梗死
高血糖症
应激
危险因素
Myocardial infarction
Hyperglycemia
Stress
Risk factors
