中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
34期
4079-4082
,共4页
合依热古丽·吾拉依木%阿得力·艾山%董旭南
閤依熱古麗·吾拉依木%阿得力·艾山%董旭南
합의열고려·오랍의목%아득력·애산%동욱남
急性冠状动脉综合征%应激性高血糖%全球急性冠状动脉事件注册评分%相关性
急性冠狀動脈綜閤徵%應激性高血糖%全毬急性冠狀動脈事件註冊評分%相關性
급성관상동맥종합정%응격성고혈당%전구급성관상동맥사건주책평분%상관성
Acute coronary syndrome%Stress hyperglycemia%Global registry of acute coronary events risk score%Relationship
目的:探讨急性冠状动脉综合征( ACS)患者应激性高血糖与全球急性冠状动脉事件注册( GRACE)评分及危险分层的相关性。方法入选2010年1月—2011年1月在新疆医科大学第一附属医院就诊的255例ACS患者,根据应激性高血糖的定义,将其分为ACS不合并应激性高血糖组(非应激性高血糖组,113例)和ACS合并应激性高血糖组(应激性高血糖组,142例)。入院后行常规实验室检查及超声心动图检查,采用GRACE评分标准计算患者的GRACE评分并进行危险分层,分析患者血清葡萄糖与GRACE评分及危险分层间的关系。结果应激性高血糖组与非应激性高血糖组的年龄、性别、高血压病史、吸烟、心率、收缩压、血小板计数、血钾、低密度脂蛋白、高密度脂蛋白间差异均无统计学意义( P>0.05);白细胞计数、肌酐、尿素氮、肌酸激酶同工酶、肌钙蛋白、D-二聚体、左室舒张末期内径、左室射血分数、GRACE评分间差异均有统计学意义( P<0.05)。GRACE高危组与中低危组的血糖水平比较,差异有统计学意义(P<0.05)。应激性高血糖组中GRACE评分与血糖水平呈正相关(r=0.287,P<0.001);非应激性高血糖组中GRACE评分与血糖水平呈正相关(r=0.451,P<0.001)。血糖水平、左室舒张末期内径、左室射血分数、肌钙蛋白对 GRACE 评分的影响有统计学意义( P <0.05)。结论 ACS 患者应激性高血糖与GRACE评分及其危险分层有相关性。
目的:探討急性冠狀動脈綜閤徵( ACS)患者應激性高血糖與全毬急性冠狀動脈事件註冊( GRACE)評分及危險分層的相關性。方法入選2010年1月—2011年1月在新疆醫科大學第一附屬醫院就診的255例ACS患者,根據應激性高血糖的定義,將其分為ACS不閤併應激性高血糖組(非應激性高血糖組,113例)和ACS閤併應激性高血糖組(應激性高血糖組,142例)。入院後行常規實驗室檢查及超聲心動圖檢查,採用GRACE評分標準計算患者的GRACE評分併進行危險分層,分析患者血清葡萄糖與GRACE評分及危險分層間的關繫。結果應激性高血糖組與非應激性高血糖組的年齡、性彆、高血壓病史、吸煙、心率、收縮壓、血小闆計數、血鉀、低密度脂蛋白、高密度脂蛋白間差異均無統計學意義( P>0.05);白細胞計數、肌酐、尿素氮、肌痠激酶同工酶、肌鈣蛋白、D-二聚體、左室舒張末期內徑、左室射血分數、GRACE評分間差異均有統計學意義( P<0.05)。GRACE高危組與中低危組的血糖水平比較,差異有統計學意義(P<0.05)。應激性高血糖組中GRACE評分與血糖水平呈正相關(r=0.287,P<0.001);非應激性高血糖組中GRACE評分與血糖水平呈正相關(r=0.451,P<0.001)。血糖水平、左室舒張末期內徑、左室射血分數、肌鈣蛋白對 GRACE 評分的影響有統計學意義( P <0.05)。結論 ACS 患者應激性高血糖與GRACE評分及其危險分層有相關性。
목적:탐토급성관상동맥종합정( ACS)환자응격성고혈당여전구급성관상동맥사건주책( GRACE)평분급위험분층적상관성。방법입선2010년1월—2011년1월재신강의과대학제일부속의원취진적255례ACS환자,근거응격성고혈당적정의,장기분위ACS불합병응격성고혈당조(비응격성고혈당조,113례)화ACS합병응격성고혈당조(응격성고혈당조,142례)。입원후행상규실험실검사급초성심동도검사,채용GRACE평분표준계산환자적GRACE평분병진행위험분층,분석환자혈청포도당여GRACE평분급위험분층간적관계。결과응격성고혈당조여비응격성고혈당조적년령、성별、고혈압병사、흡연、심솔、수축압、혈소판계수、혈갑、저밀도지단백、고밀도지단백간차이균무통계학의의( P>0.05);백세포계수、기항、뇨소담、기산격매동공매、기개단백、D-이취체、좌실서장말기내경、좌실사혈분수、GRACE평분간차이균유통계학의의( P<0.05)。GRACE고위조여중저위조적혈당수평비교,차이유통계학의의(P<0.05)。응격성고혈당조중GRACE평분여혈당수평정정상관(r=0.287,P<0.001);비응격성고혈당조중GRACE평분여혈당수평정정상관(r=0.451,P<0.001)。혈당수평、좌실서장말기내경、좌실사혈분수、기개단백대 GRACE 평분적영향유통계학의의( P <0.05)。결론 ACS 환자응격성고혈당여GRACE평분급기위험분층유상관성。
Objective To study the relationship between stress hyperglycemia( SH)and GRACE risk stratification in patients with acute coronary syndrome(ACS). Methods We enrolled 255 patients with ACS who were admitted in the First Af-filiated Hospital of Xinjiang Medical University during January 2010 to January 2011. The patients were divided into non-SH ACS group(113 cases)and SH ACS group(142 cases)according to the definition of SH. All the patients received routine laboratory tests and echocardiography examination. The GRACE risk score were calculated for risk stratification. The relationship between pa-tients' serum glucose and GRACE risk stratification was analyzed. Results SH group and non-SH groups were not statistically different in age,gender,hypertension history,smoking,heart rate,systolic pressure,blood platelet count,serum potassium, LDL and HDL(P>0. 05). There were different between the 2 groups in WBC,Cr,BUN,CK-MB,troponin,D-dimer, LVEDD,LVEF,and GRACE score(P<0. 05). Serum glucose in the high risk GRACE group was different comparing with the moderate and low risk GRACE group(P<0. 05). GRACE score and serum glucose were positively correlated in the SH group (r=0. 287,P<0. 001);GRACE score and serum glucose were also positively correlated(r=0. 451,P<0. 001)in the non-SH groups. GRACE score was influenced by serum glucose,LVEDD,LVEF,troponin(P<0. 05). Conclusion Stress hy-perglycemia is correlated with GRACE risk stratification score in patients with ACS.