摘要
【目的】探讨急性心肌梗死（AMI）患者入院即刻血糖水平与冠脉病变及院内主要不良血管事件（MACE）的相关性。【方法】2010年1月至2011年6月就诊于北京友谊医院、并行冠脉造影检查的353例AMI患者，其中单支病变组76例、双支病变组13l例、三支病变组146例，比较不同冠脉病变程度患者入院即刻血糖水平差异，分析其相关性。并根据入院即刻血糖将患者分为正常血糖组184例（血糖〈7．8mmol／L）与高血糖组169例（血糖≥7．8mmol／L），比较不同血糖水平与院内MACE的差异。【结果】双支病变组及三支病变组血糖水平较单支病变组血糖明显升高（P〈0．05），而双支组与三支组血糖水平无统计学差异（P〉0．05）。高血糖组与正常血糖组患者院内MACE发生率分别为11．2％和3．3％，二者比较差异显著（P〈0．05）。【结论】AMI患者的入院即刻血糖水平与冠脉病变严重程度相关，入院即刻血糖是院内MACE的影响因素。
[Objective] To explore the correlation of instant blood glucose on admission with corondry artery le- sion and main adverse cardiac events（MACE） in hospital in patients with acute myocardial infarction（AMI）. [Meth- ods] A total of 353 AMI patients undergoing coronary angiography in Beijing friendship hospital from Jan. 2010 to June 2011 were enrolled consecutively and divided into single-vessel lesion group（ n = 76）, double-vessel lesion group （ n = 131） and three-vessel lesion group（ n = 146）. Instant blood glucose on admission in patients with different cor- onary lesions was compared. The correlation was analyzed. According to instant blood glucose on admission, all pa- tients were divided into normal glucose group（ n = 184, G7.8mmol/L） and hyperglycemia group（ n = 169, ≥7.8 mmol/L）. Different glucose level and MACE in hospital were compared. [Results] Compared with single-vessel lesion group, blood glucose in double- and three-vessel lesion groups obviously increased（ P G0.05）, while there was no significant difference between double-vessel lesion group and three-vessel lesion group（P〉0.05）. The incidence of MACE in hyperglycemia group and normal glucose group was 11.2% and 3.3%, respectively, and there was signifi- cant difference between two groups（ P 〈0.05）. [Conclusion] The level of instant blood glucose on admission in AM1 patients is related with the severity of coronary artery lesion. Instant blood glucose on admission is the influencing fac- tor of MACE in hospital.
出处
《医学临床研究》
CAS
2013年第3期497-499,502,共4页
Journal of Clinical Research
关键词
心肌梗死
血糖
分析
冠状动脉疾病
预后
Myocardial Infarction
Blood Glucose/ANl Coronary Artery Disease
Prognosis
