住院期间血糖升高对急性冠状动脉综合征患者近期预后的影响  

Prognosis of acute coronary syndromes patients with diabetes or hypergly caemia during admission

作　　者：卢燕玲[1] 陈韵岱[1] 陈欣[1] 

机构地区：[1]首都医科大学附属北京安贞医院心内科,北京100029

出　　处：《心肺血管病杂志》2005年第4期210-211,224,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:观察住院期间血糖升高对急性冠状动脉综合征(ACS)患者近期预后的影响。方法:对786例ACS患者入院4d内进行空腹血糖测定。根据空腹血糖,把患者分为糖尿病血糖异常组(空腹血糖>6·67mmol/L)、非糖尿病血糖异常组、血糖正常组(空腹血糖≤6·67mmol/L)。结果:496例(63·1%)ACS患者空腹血糖>6·67mmol/L,其中确诊糖尿病患者218例(27·7%),血糖升高组多为高龄女性,住院期间心肌缺血事件发生率及病死率明显高于血糖正常组(P<0·05)。结论:住院期间血糖升高是影响ACS患者预后的一个重要的危险因素,对血糖升高的患者应给予积极的治疗。Objective：To assess the role of admission hyperglycemia on the prognosis in patients with ACS. Method：There were 786 patients with acute coronary syndromes, Fasting blood sugar level on admission and in the next four days were recorded. Blood sugar 〉 6.67 mmol/L was considered hyperglycemias. Result： Of 786 patients with ACS 218（27.7% ） cases were diabetes mellitus, 496（63.1% ） had blood sugar 〉 6.67mmol/L on admission. Patients with hyperglycemias were older, more often female, developed more complications and had higher mortality （P 〈 0.05）. Conclusion： The admission blood sugar lever 〉 6.67 mmol/L was an independent prognostic factor. More aggressive treatment for hyper- glycaemia during admission is important.

关 键 词：高血糖 急性冠状动脉综合征 

分 类 号：R543.3[医药卫生—心血管疾病] R743.33[医药卫生—内科学]