CAJ | 학술논문

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≥8 mmol/L者为SHG组,血糖<8 mmol/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.
목적 탐토응격성고혈당(SHG)대성심기경사(AMI)예후적영향.방법 선택비당뇨병(DM)AMI환자80례,의거입원조기적혈당수평분조,혈당≥8 mmol/L자위SHG조,혈당<8 mmol/L자위비SHG조.관찰량조엄중심률실상、충혈성심력쇠갈、심원성휴극급사망정황.결과 SHG조엄중심률실상、충혈성심력쇠갈、심원성휴극급병사솔분별위35%、38%、19%화31%,균현저고우비SHG조(13%、17%、2%화11%)(균P<0.05).결론 비당뇨병AMI환자출현응격성고혈당제시예후불가,가작위반영환자병정、판단예후적지표지일.
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. Re-sults 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 pa-tients without stress hyperglycemia,which could be used as the parameters to judge the prognosis of patient.