CAJ | 학술논문

目的分析老年急性心肌梗死患者伴高血糖的临床意义.方法 256例≥60岁的老年AMI患者依入院次晨血糖水平分为FBG≥7.0mmol/L组(136例)和FBG<7.0mmol/L组(120例).记录入院后3d、7d空腹血糖值.7d后行超声心动图检查,测定左室射血分数,记录住院期间病死率,总心血管事件的发生情况.结果在年龄、既往病史方面两组无明显差别,FBG≥7.0mmol/L组中女性多,非ST段抬高型心肌梗死者多,7d后21%患者血糖未回到正常.本组广泛前壁心肌梗死发生率、病变血管支数、心源性休克发生率、住院期死亡率、心血管事件发生率明显高于FBG<7.0mmol/L组[50%vs40%,(2.12±0.83)vs(1.88±0.53),12%vs0%,12%vs4%,61%vs34%].结论老年急性心肌梗死患者伴潜在糖尿病多,伴高血糖者预后差,应予以重视.
목적 분석노년급성심기경사환자반고혈당적림상의의.방법 256례≥60세적노년AMI환자의입원차신혈당수평분위FBG≥7.0mmol/L조(136례)화FBG<7.0mmol/L조(120례).기록입원후3d、7d공복혈당치.7d후행초성심동도검사,측정좌실사혈분수,기록주원기간병사솔,총심혈관사건적발생정황.결과 재년령、기왕병사방면량조무명현차별,FBG≥7.0mmol/L조중녀성다,비ST단태고형심기경사자다,7d후21%환자혈당미회도정상.본조엄범전벽심기경사발생솔、병변혈관지수、심원성휴극발생솔、주원기사망솔、심혈관사건발생솔명현고우FBG<7.0mmol/L조[50%vs40%,(2.12±0.83)vs(1.88±0.53),12%vs0%,12%vs4%,61%vs34%].결론 노년급성심기경사환자반잠재당뇨병다,반고혈당자예후차,응여이중시.
Objective To assess the predictive value of FBG concentration in-hospital outcome in the old patients with AMI.Methods 256 old patients (≥60 years old) with AMI precluding that with history of diabetes were divided into two groups according to serum FBG level:group A,n = 136,FBG ≥7.0mmol/L;group B,n = 120,FBG < 7.0mmol/L FBG concentrations after 7 days,mortality and total cardiac affairs in-hospital were recorded. Results:Among the two group,there were no significance in age,history of hypertension,hyperlipdemia. Compared with group B,the patients with high FBG levels in 7th day were more than group A, about 21% of group A(P< 0.05). Numbers of disease vessels were more than group A(P < 0.05). Cardiac shock,in-hospital mortality and total cordial affairs were significanfly higher in group A(12%vs0% in cardiac shock, 12%vs4% in mortality ,61%vs34% in MACE)(P< 0.05). Conclusion A part of the old patient with high FBG concentrations and AMI have impaired glucose metabolism, admission glucose levels are predictive for in hospital mortality and total cardial affairs.