急性心肌梗死患者血糖增高对住院期间预后影响  

Effect of elevated blood glucose level on prognosis of acute myocardial infarction patients

作　　者：汤长春[1] 陈然[1] 刘赵云[1] 贾颖[1] 黄玉艳[1] 

机构地区：[1]湖南长沙市中心医院心内科,410006

出　　处：《中华老年心脑血管病杂志》2016年第2期158-160,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨急性心肌梗死(AMI)患者血糖增高对住院期间预后的影响。方法入选AMI患者1186例,按入院时血糖高低分为2组:高血糖组585例,正常血糖组601例,比较2组患者住院期间并发症,并进行直线相关分析。结果住院期间正常血糖组住院时间、室性期前收缩、室性心动过速或心室颤动及二度以上房室传导阻滞与高血糖组比较,差异无统计学意义(P>0.05),与高血糖组比较,正常血糖组心力衰竭发生率及病死率明显下降,差异有统计学意义(13.5%vs 24.3%,0.7%vs 1.5%,P<0.05)。直线相关分析显示,血糖增高与心力衰竭呈正相关(r=0.716,P<0.05),与死亡呈正相关(r=0.701,P<0.05)。结论血糖增高可能导致AMI患者心力衰竭及病死率增加。Objective To study the effect of elevated blood glucose level on the prognosis of acute myocardial infarction（AMI）patients.Methods A total of 1186 AMI patients were divided into hyperglycemia group（n=585）and normal blood glucose group（n=601）.Their complications were compared and analyzed by linear correlation analysis.Results No significant difference was found in hospital stay time（days）,ventricular presystole,ventricular tachycardia or ventricular fibrillation and≥110atrioventricular block between the two groups（P〉0.05）.However,the incidence of heart failure and mortality were significantly lower in normal blood glucose group than in hyperglycemia group（13.5% vs 24.3%,0.7% vs 1.5%,P〈0.05）.Linear correlation analysis showed that elevaled blood glucose level was related with heart failure and mortality（r=0.716,P〈0.05;r=0.701,P〈0.05）.Conclusion Elevated blood glucose level can lead to heart failure and increase mortality in AMI patients.

关 键 词：心肌梗死 高血糖症 住院病人 心力衰竭 预后 死亡率 

分 类 号：R542.22[医药卫生—心血管疾病]