应激性高血糖与急性心肌梗死预后关系的临床研究  

Relationship between stress hyperglycemia concentration and clinical prognosis in patients of acute myocardial infarction.

作　　者：叶健烽[1] 刘冬生[1] 

机构地区：[1]东莞市人民医院心内科,广东东莞523018

出　　处：《中国热带医学》2006年第12期2186-2187,共2页China Tropical Medicine

摘　　要：目的探讨应激性高血糖与急性心肌梗死(AMI)预后的关系。方法120例AMI患者,根据血糖水平分为3组:A组:无伴发高血糖组;B组:入院高血糖组;C组:持续性高血糖组。经在住院期间及经平均3个月的随访,观察心血管事件发生率的差异。结果AMI后伴发入院高血糖组、持续性高血糖组的梗死面积和发生心血管事件率明显高于无伴发高血糖发生者;急性期血糖水平与心血管事件发生率相关。结论AMI急性期血糖浓度显著升高,提示心血管事件发生率高;血糖的变化可作为AMI后心血管事件的较敏感、简便、直观的预测因子。Objective To evaluate the value of stress hyperglycemia in estimating risk stratification in patients with acute myocardial infarction （AMI） and determine the relationship between stress hyperglycemia and adverse cardiac events after AMI. Methods 120 subjects were divided into the three group according to the level of the blood glucose concentrations group A with noirmal bloo9d glucose, group B with admission hyperglycemia, group C with persistent hyperglycemia. Patients were followed up for a period of three months. The mortality and the main adverse cardiac events were compared. Results AMI with hyperglycemla or persistent hyperglycemia at admission had higher adverse cardiac events than those with normal blood glucose. Conclusion Slress hyperglycemla is related to the risk stratification and prognosis in patients with AMI. Stress hyperglycemia is associated with higher incidence of adverse clinical outcomes after AMI. The change of blood glucose can serve as a strong predictor and simpler for the subsequent development of poor outcomes in AMI patients.

关 键 词：心肌梗死 应激性高血糖 预后 

分 类 号：R542.22[医药卫生—心血管疾病]