老年急性心肌梗死与应激性高血糖的临床探讨  

Clinical observation of acute myocardial infarction and stress-induced hyperglucemia in elder patients

作　　者：邹积明[1] 王海晖[1] 

机构地区：[1]山东省烟台市烟台山医院,山东烟台264001

出　　处：《海军医学杂志》2009年第1期24-25,共2页Journal of Navy Medicine

摘　　要：目的:探讨非糖尿病老年急性心肌梗死伴应激性高血糖的临床特征/应激性高血糖对患者近期预后的影响。方法:回顾分析非糖尿病老年急性心肌梗死住院患者56例,入院第2天测空腹血糖,高血糖组患者29例,血糖正常组患者27例,比较两组患者心功能、严重心律失常、并发肺部感染及住院死亡率。结果:高血糖组患者心功能、严重心律失常、并发肺部感染、住院死亡率与血糖正常组比较差异有统计学意义(P<0.05或P<0.01)。结论:非糖尿病老年急性心肌梗死伴早期高血糖患者近期预后较差,是其预后不良的指标之一。Objective： To explore the clinical features of acute myocardial infarction without diabetes mellitus complicated with stress-induced hyperglucemia in elder patients, and discuss the effects of stress-induced hyperglucemia on the short-term prognosis. Methods： Fifty-six cases of acute myocardial infarction without diabetes meUitus complicated with stress-induced hyperglucemia were analyzed retrospectivdy. All patients were divided into two groups according to blood-fasting sugar（BFS）on the second day after admission： hyperglucemia group were 29 cases and normal blood glucose were 27 cases. Cardiac function, severe arrhythmia, pulmonary infection and hospital mortality of patients in two groups were analyzed comparatively. Results： There were statistic significances of cardiac function, severe arrhythmia, pulmonary infection and hospital mortality in two groups. Conclusion： There is poor prognosis of acute myocardial infarction without diabetes mellitus complicated with stress-induced hyperglucemia in elder patients. Hyperglucemia in early period is one index of unfavorable prognosis.

关 键 词：老年 急性心肌梗死 高血糖 

分 类 号：R542.22[医药卫生—心血管疾病]