血糖增高对急性心肌梗死患者的预后影响  

Prognostic effects of elevated blood glucose on patients with acute myocardial infarction

作　　者：汤长春[1] 陈然[1] 李祥[1] 贾颖[1] 黄玉艳[1] 

机构地区：[1]长沙市中心医院心内科,湖南长沙410004

出　　处：《中国现代医生》2017年第7期37-39,共3页China Modern Doctor

摘　　要：目的探讨血糖增高对急性心肌梗死(AMI)患者住院期间及远期影响。方法入选AMI患者895例,按入院时血糖高低分两组,其中高血糖组(425例),正常血糖组(470例),比较两组患者的远期观察影响。结果两组AMI患者住院期间死亡率比较,无明显差异(P>0.05),但高血糖组在心衰发生率及恶性心律失常事件发生率明显上升,差异有统计学意义(P<0.05)。患者出院后1年随访,两组患者死亡率比较,差异无统计学意义(P>0.05),但正常血糖组在再住院率、糖尿病发生率、心衰发生率及恶性心律失常事件发生率较高血糖组明显下降,差异有统计学意义(P<0.05)。结论血糖增高可能会导致AMI患者心衰及再住院率增加,并转化糖尿病增多。Objective To investigate the effects of increased blood glucose on acute myocardial infarction （AMI） patients during hospitalization and for a long term. Methods A total of 895 patients with AMI were enrolled and divided into two groups including high blood glucose group （n=425） and normal blood glucose group （n=470）,according to the level of blood glucose at admission. The effects of long-term observation were compared between the two groups. Re- suits There was no significant difference in mortality rate between the two groups during hospitalization of AMI （P〉 0.05）. While the incidences of heart failure and malignant arrhythmia in the hyperglycemia group were significantly higher than those in the control group ,and the differences were statistically significant（P〈0.05）. There were no signifi- cant difference in mortality rate between the two groups within 1 year follow-up after discharge （P〉0.05）.However, the incidences of rehospitalization, diabetes mellitus, heart failure and malignant arrhythmia in the normal blood glucose group were significantly lower than those of the hyperglycemia group （P〈0.05）, and the differences were statistically significant （P〈0.05）. Conclusion Elevated blood glucose may cause the patients with AMI increase of heart failure, re- hospitalization rate and the conversion of diabetes.

关 键 词：高血糖 急性心肌梗死 远期影响 并发症 

分 类 号：R542.22[医药卫生—心血管疾病]