| 左强1 谢雯2 邓春艳2 李峤柯1△ 周崎1.急性心肌梗死后血糖变化对预后的影响研究[J].,2011,11(2):329-331 |
| 急性心肌梗死后血糖变化对预后的影响研究 |
| Influence of changes of blood glucose on prognosis in patientswithacute myocardial infarction |
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| DOI： |
| 中文关键词: 急性心肌梗塞 血糖 预后 |
| 英文关键词: Acute myocardial infarction Blood glucose Prognosis |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨急性心肌梗死后血糖变化对患者预后的影响。方法：对314 例急性心肌梗死患者于入院后第2 日早晨测空腹血
糖值后，并进行回顾性对比分析。结果：随着血糖水平的逐渐升高，心力衰竭及心源性休克的发生率和病死率逐渐升高（P<0.05），
严重心律失常的发生率逐渐升高，但差异无统计学意义（P>0.05）。结论：急性心肌梗死患者伴应激性血糖升高者，随着血糖水平升
高，其心力衰竭及心源性休克的发生率和病死率升高。血糖正常组预后明显好于血糖升高组。 |
| 英文摘要: |
| Objective: To explore the prognostic influence of the changes of blood glucose in patients with acute myocardial
infarction. Methods: A contrast analysis retrospectively of the fasting blood glucose on the 2nd day after admission in 314 patients with
acute myocardial infarction. Results: With the blood glucose advanced,the rate of occurrence of heart failure, cardiogenic shock and case
fatality rate were increased.Also the rate of occurrence of serious cardiac arrhythmias was increased, but without the difference of statistics.
Conclusion: With the blood glucose advanced,the rate of occurrence of heart failure, cardiogenic shock and case fatality rate were
increased in patients with stress hyperglycaemia after acute myocardial infarction. The prognosis of euglycemia group is superior to the
glycemia group. |
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