胰岛素抵抗对急性ST段抬高型心肌梗死患者早期PCI治疗后心肌灌注及预后的影响被引量：1

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摘要目的探讨胰岛素抵抗对急性ST段抬高型心肌梗死患者早期PCI治疗后心肌灌注及预后的影响情况。方法采用Judkins法行紧急冠状动脉造影和行急诊PCI治疗,自我平衡模型分析法(HOMA)指数(IRI)评价胰岛素抵抗。结果心肌灌注良好组术后6个月主要心血管事件(MACE)发生率均低于心肌灌注受损组,同时胰岛素抵抗组术后6个月主要心血管事件(MACE)发生率高于胰岛素敏感组,胰岛素抵抗组IRI和TMP分级呈现明显正相关,P<0.05,差异均有统计学意义。结论胰岛素抵抗影响了急性ST段抬高型心肌梗死患者早期PCI治疗后心肌灌注效果,影响了PCI近远期预后。

作者王帅

机构地区沈阳医学院沈洲医院

出处《中国现代药物应用》 2013年第8期112-113,共2页 Chinese Journal of Modern Drug Application

基金沈阳市科委基金项目(项目编号:F12193958)

关键词胰岛素抵抗急性ST段抬高型心肌梗死 PCI 心肌灌注预后

分类号 R542.22 [医药卫生—心血管疾病]

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