应激性高血糖与急性心肌梗死预后的关系  

Effect of stress hyperglycemia on prognosis of nondiabetic patients with acute myocardial infarction

作　　者：张春德[1] 张爱萍[1] 段玉柱[1] 曾昭波[1] 

机构地区：[1]淮南市第一人民医院心内科,安徽省淮南232007

出　　处：《中国基层医药》2009年第7期1217-1218,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨应激性高血糖（SHG）对性心肌梗死（AMI）预后的影响。方法选择非糖尿病（DM）AMI患者80例，依据入院早期的血糖水平分组，血糖≥8mmol／L者为SHG组，血糖〈8mmol／L者为非SHG组。观察两组严重心律失常、充血性心力衰竭、心源性休克及死亡情况。结果SHG组严重心律失常、充血性心力衰竭、心源性休克及病死率分别为35％、38％、19％和31％，均显著高于非SHG组（13％、17％、2％和11％）（均P〈0．05）。结论非糖尿病AMI患者出现应激性高血糖提示预后不佳，可作为反映患者病情、判断预后的指标之一。Objective To discuss the effect of stress hyperglycemia on prognosis of nondiabetic patients with acute myocardial infarction. Methods 80 nondiabetic patients with acute myocardial infarction（AMI） were divided into 2 groups according to the early blood glucose level. Group A：blood glucose ≥ 8mmol/L; group B： 〈 8mmol/L. Serious cardiac arrhythmia, backward heart failure, cardiac shock and death incidence and so on were observed. Resuits The incidences of serious cardiac arrhythmia, backward heart failure, cardiac shock and death were significantly higher in patients with stress hyperglycemia than those of patients without stress hyperglycemia（35% vs 13% ,38% vs 17% ,19% vs 2% ,31% vs 11% ,P 〈0. 05）. Conclusion The incidences of serious cardiac arrhythmia,backward heart failure, cardiac shock and death in patients with stress hyperglycemia were significantly higher than those of patients without stress hyperglycemia, which could be used as the parameters to judge the prognosis of patient.

关 键 词：心肌梗死 应激性高血糖 

分 类 号：R542[医药卫生—心血管疾病]