应激性高血糖与不稳定型心绞痛的关系  

Relationship between stress hyperglycemia and unstable angina pectoris

作　　者：袁斌[1] 

机构地区：[1]荆州市第二人民医院心内科,湖北荆州434000

出　　处：《心血管康复医学杂志》2012年第1期37-38,共2页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:观察应激性血糖浓度变化与不稳定型心绞痛患者预后的关系。方法:选择符合不稳定型心绞痛诊断标准且有糖耐量异常患者236例,按入院时随机血糖数值分为两组:糖耐量减低组138例,糖尿病组98例;观察两组患者血糖的变化、一个月病情进展和死亡率。结果:治疗一个月过程中,糖耐量减低组心肌梗死发生率明显低于糖尿病组(1.4%比7.1%,x2=5.06,P<0.05),死亡率无明显差异(x2=0.23,P>0.05)。结论:应激性高血糖一方面反映了机体的应激程度,另一方面可加重缺血心肌的损害;通过对患者的血糖监测,可在一定程度上评估患者的预后,指导治疗方案的调整。Objective：To investigate relationship between stress hyperglycemia and prognosis of patients with unstable angina pectoris（UAP）.Methods：According to random blood glucose levels at admission,a total of 236 UAP patients with impaired glucose tolerance（IGT） were divided into IGT group（n=138） and diabetes mellitus group（DM group,n=98）.Changes of blood glucose concentration,progression of disease and mortality rate in a month were observed and compared between the two groups.Results：During one-month treatment,compared with DM group,incidence rate of myocardial infarction was significantly lower（7.1% vs.1.4%,x2=5.06,P〈0.05）,but mortality rate was no significant different in IGT group（x2=0.23,P〉0.05）.Conclusion：Stress hyperglycemia reflects stress level of the organism and can aggravate damage of ischemic myocardium;monitoring blood glucose of patients can evaluate prognosis of patients to some extent and guide adjustment of clinical therapeutic plan.

关 键 词：应激 高血糖症 心绞痛 不稳定型 

分 类 号：R541.409[医药卫生—心血管疾病]