应激性高血糖对急性心肌梗死预后的影响  

Prognosis influence of stress hyperglycemia with acute myocardial infarction

作　　者：隋敏生[1] 廖清高[1] 曹锡标[2] 

机构地区：[1]汕头市中心医院急诊科,广东汕头515031 [2]潮州市中心医院

出　　处：《中国基层医药》2005年第2期199-200,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨应激性高血糖对急性心肌梗死预后的影响。方法520例非糖尿病急性心肌梗死患者按早期血糖情况分A组(血糖正常或轻度升高,<72mmol/L)、B组(中度升高,72～111mmol/L)、C组(重度升高,>111mmol/L),进行24h动态心电监测,采用Wagner法计算心电图QRS积分。对各组梗死范围、主要并发症的发生率和病死率进行比较。结果应激性血糖升高提示心肌梗死范围的增大、心肌梗死并发症的增加、病死率的升高,预后凶险。结论应激性高血糖的变化是观察急性心肌梗死病情的发展和预后较敏感、简便、直观的指标。Objective The aim of the study is to investigate the effect of the prognosis of stress hyperglycemia in the patients with acute myocardial infarction(AMI).Methods 520 non-diabetic patients with AMI were divided into three groups according to the blood sugar(BS):group A with normal or slight elevated BS(<7.2mmol/L),group B medium elevated BS(7.2～11.1mmol/L),group C significant elevated BS(>11.1mmol/L).The patients in the three groups underwent 24-hour electrocardio-monitor and obtained cardiograph QRS integral by Wanger calculation in order to know the infraction scopes.The infarction scopes,the incidences rates of the main complications and the case-fatality rates of the patients were compared.Results The infarction scopes antarge,the incidence rate of the main complications increased and the caes-fatality rate rised and the prognosis was poorer in the patients with higher stress hyperglycemia.Conclusion The change of stress hyperglycemia is one kind of the more senitive,simpler and macroscopic index in investigaling of the development of illness state and the prognosis of AMI.

关 键 词：应激性高血糖 急性心肌梗死 预后 升高 并发症 病死率 心电图 结论 敏感 目的 

分 类 号：R542.22[医药卫生—心血管疾病] R743[医药卫生—内科学]