CAJ | 학술논문

【目的】探讨非糖尿病性持续性高血糖对急性心肌梗死（AMI）患者预后影响。【方法】将2010年8月至2012年8月本院收治的125例A M I住院患者排除糖尿病后，根据住院期间患者随机血糖值分为：A组（入院24 h后空腹血糖＜6．1 mmol/L ）；B 组（入院24 h 后空腹血糖＜6．1 mmol/L 且随机血糖＜9．0 mmol/L ）；C组（入院24 h后空腹血糖≥6．1 mmol/L或随机血糖≥9．0 mmol/L ）。分析比较各组恶性心律失常、心力衰竭、死亡的发生率。【结果】C组恶性心律失常、心力衰竭、死亡发生率均高于A组、B组，且差异有显著性（P ＜0．05）。B组恶性心律失常及心力衰竭的发生率均高于A组，且差异有显著性（P ＜0．05），A组与B组死亡的发生率相比较差异无显著性（ P＞0．05）。【结论】非糖尿病性持续性高血糖AMI患者的预后较一过性高血糖患者的预后差，检测其血糖水平对判断此类患者的预后具有一定的临床意义。
【목적】탐토비당뇨병성지속성고혈당대급성심기경사（AMI）환자예후영향。【방법】장2010년8월지2012년8월본원수치적125례A M I주원환자배제당뇨병후，근거주원기간환자수궤혈당치분위：A조（입원24 h후공복혈당＜6．1 mmol/L ）；B 조（입원24 h 후공복혈당＜6．1 mmol/L 차수궤혈당＜9．0 mmol/L ）；C조（입원24 h후공복혈당≥6．1 mmol/L혹수궤혈당≥9．0 mmol/L ）。분석비교각조악성심률실상、심력쇠갈、사망적발생솔。【결과】C조악성심률실상、심력쇠갈、사망발생솔균고우A조、B조，차차이유현저성（P ＜0．05）。B조악성심률실상급심력쇠갈적발생솔균고우A조，차차이유현저성（P ＜0．05），A조여B조사망적발생솔상비교차이무현저성（ P＞0．05）。【결론】비당뇨병성지속성고혈당AMI환자적예후교일과성고혈당환자적예후차，검측기혈당수평대판단차류환자적예후구유일정적림상의의。
[Objective] To explore the impact of non-diabetic persistent hyperglycemia on the prognosis of pa-tients with acute myocardial infarction (AMI) .[Methods]Totally 125 AMI inpatients excluding diabetes mellitus in our hospital from Aug .2010 to Aug .2012 were recruited .According to hospitalization time ,all patients were divid-ed into group A(fasting blood sugar 24h after admission<6 .1mmol/L) ,group B(fasting blood sugar 24h after ad-mission<6 .1mmol/L and randomized blood sugar <9 .0mmol/L) and group C(fasting blood sugar 24h after admis-sion≥6 .1mmol/L or randomized blood sugar≥9 .0mmol/L) .The incidences of malignant arrhythmias ,heart failure and death in each group was analyzed and compared .[Results]The incidences of malignant arrhythmias ,heart failure and death in group C were higher than those in group A and group B ,and there was significant difference ( P <0 .05) .The incidences of malignant arrhythmias and heart failure in group B were higher than those in group A ,and there was significant difference ( P <0 .05) .There was no significant difference in the incidence of death between group A and group B( P<0 .05) .[Conclusion] The prognosis of AMI patients with non-diabetic persistent hyper-glycemia is poorer than that of patients with transient hyperglycemia .Blood sugar level is of clinical significance for forecasting the prognosis of these patients .