空腹血糖水平与急性冠脉综合征的相关性研究  

Research on correlation of fasting plasma glucose and acute coronary artery syndrome

作　　者：刘薇薇[1] 廖树森[1] 钟梅[1] 

机构地区：[1]广西北海市人民医院心内科,北海536000

出　　处：《陕西医学杂志》2008年第4期428-430,共3页Shaanxi Medical Journal

摘　　要：目的:探讨空腹血糖水平与急性冠脉综合征的相关性。方法:急性冠脉综合征患者404例,根据空腹血糖(FBG)水平分为4组:正常组FBG<5.6mmol/L;轻度升高组5.6≤FBG<7.2mmol/L;中度升高组7.2≤FBG<10.0mmol/L,;重度升高组FBG≥10.0mmol/L。对各组之间一般情况、并发症、病死率进行对比分析。结果:随FBG水平的增加,高血压、糖尿病的发生率增加,肌酸磷酸激酶(CPK)峰值增加,轻度、中度、重度升高组左心衰竭、室颤发生率及病死率与正常组相比均有统计学意义(P<0.05,P<0.01)。结论:空腹血糖升高提示急性冠脉综合征患者预后不良。Objectives： To investigate the relationship between fastiug plasma glucose and acute coronary syndrome, methods： The patients were stratified into quartile groups defined by serum glucose concentrations of FBG〈5.6, 5.6≤FBG〈7.2, 7.2≤FBG〈10.0 , FBG≥10.0 mmol/L. The relation between quartile group and major in-hospital complications was analysed. Results： The glucose quartile showed an incremental increase in the frequency of hypertension, diabetes, and peak creatine kinase. The frequency of LVF, Ventricular fibrillation, and cardiac death in slight,middle and serious groups were higher than those in normal group, there were difference in the statistics（P〈0.05,P〈0.01）. Conclusion： a single serum glucose concentration predicts adverse outcomes in acute coronary syndrome

关 键 词：冠状动脉疾病 @血糖 预后 对比研究 

分 类 号：R541.4[医药卫生—心血管疾病] R587.2[医药卫生—内科学]