入院血糖水平对急性心肌梗死患者预后的影响与护理  

The Effect of Initial Plasma Glucose Level When Enter the Hospital on Prognosis with the Tend of Acute Myocardial Infarction Patients

作　　者：王晓媛[1] 范庆庆[1] 姚静[1] 蒋瑞辉[1] 

机构地区：[1]中国人民解放军总医院南楼七科,北京100853

出　　处：《现代护理》2005年第13期988-989,共2页Modern Nursing

摘　　要：目的了解急性心肌梗死(AMI)患者入院血糖水平和预后的相关关系,为护士做好病情观察和准确评估预后提供理论依据。方法分别以6.1mmol/L、7.0mmol/L和8.0mmol/L作为入院糖水平的切入点,对144例急性心肌梗死患者的预后进行研究,比较2组预后的差异。结果以6.1mmol/L为切点分组,感染、心功能不全和病死率均无显著性差异;以7.0mmol/L为切点分组,心功能不全的发生率有显著性差异;入院血糖>8.0mmol/L的患者心功能不全和病死率均较<8.0mmol/L者高,差异有显著性意义。结论护士应重视和了解急性心肌梗死者的入院血糖水平,以指导临床评估预后和实施分级护理。Objective To estimate the plasma glucose and other factors effect the prognosis of acute myocardial infarction patients , so that to provide the academic foundation for nurse to observe and evaluate. Methods Divided 144 acute myocardial infarction patients into 2 groups according plasma glucose level separately at the 6.1 mmol/L, 7.0 mmol/Land 8.0 mmol/L, compared the prognosis. Results When divided at the point of 6.1mmol/L, there is no difference of infection, cardiac dysfunction and mortality rate in the 2 groups; while in the 2 groups distributed by 7.0mmol/L,statistic difference occurred in cardiac dysfunction incidence; moreover in groups separate at 8. 0mmol/L, significant difference was observed in both dysfunction and mortality rate. Conclusions Plasma glucose should be pay more attention at the time when acute myocardial infarction patients enter the hospital, and it would be the guidance of clinic prognosis estimating and classific care.

关 键 词：入院血糖 急性心肌梗死 预后 

分 类 号：R473.5[医药卫生—护理学]