摘要
目的 探讨急性心肌梗塞（ＡＭＩ）患者应激性血糖变化特点及其急性期的临床预后意义。方法 回顾性分析住院ＡＭＩ患者２２４ 例，分为单纯ＡＭＩ、合并高血压（ＨＴ）、合并Ⅱ型糖尿病（ＤＭ）以及ＤＭ 合并ＨＴ 组。观察其心功能（Ｋｉｌｌｉｐ）、恶性心律失常及病死率差别。结果 （１）无ＤＭ 的ＡＭＩ患者应激性血糖反应（入院２４ 小时血糖≥７．３ ｍ ｍ ｏｌ／Ｌ）出现率为８３ 例／１７１ 例（４８．５％ ）；（２）ＡＭＩ合并ＤＭ 加ＨＴ 患者的临床预后比单纯ＡＭＩ较差；（３）无ＤＭ 的ＡＭＩ患者中的显著血糖应激反应者的临床预后较轻度或无反应者差，而与ＡＭＩ合并ＤＭ 加ＨＴ 组相近。结论 非ＤＭ 的ＡＭＩ患者中发病后２４ 小时内血糖明显升高。
Objective To investigate the feature of blood glucose increase (BGI) responsed to acute myocardial infarction (AMI) Methods 224 hospitalization cases of AMI were selected and divided into 4 groups: AMI only, AMI+hypertension (HT), AMI+Ⅱ type of diabetes (DM) and AMI+DM+HT group, Whose cardiac function (Killips)、 severe arrhythmia and all cause death were reported Results (1) The rate of BGI in AMI patients with non DM was 83/171 (48 5%); (2) Compared with AMI cases, there were worse prognosis events in the patients to AMI+DM+HT; (3) In group non DM, the cases of marked BGI presented with more adverse events than mild BGI and non BGI subgroup; meanwhile it was similar with the cases of AMI with DM+HT Conclusion It is suggested that there may be a worse prognosis for AMI cases with non DM whose BGI is obvious after 24hr of AMI onset
出处
《中国介入心脏病学杂志》
1999年第3期127-129,共3页
Chinese Journal of Interventional Cardiology
关键词
急性
心肌梗塞
血糖
预后
Acute myocardial infarction Blood glucose Diabetes Hypertension
