中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
14期
42-44
,共3页
白杨%李华%白清中%焦文君%董捷%张月
白楊%李華%白清中%焦文君%董捷%張月
백양%리화%백청중%초문군%동첩%장월
2型糖尿病%急性心肌梗死%糖化血红蛋白%肌酸激酶%肌酸激酶同工酶
2型糖尿病%急性心肌梗死%糖化血紅蛋白%肌痠激酶%肌痠激酶同工酶
2형당뇨병%급성심기경사%당화혈홍단백%기산격매%기산격매동공매
Type 2 diabetes%Acute myocardial infarction%Haemoglobin A1c%Creatine kinase%Creatine kinase-MB
目的 研究老年2型糖尿病(T2DM)合并急性心肌梗死(AMI)患者糖化血红蛋白(HbA1c)与肌酸激酶及其同工酶的相关性.方法 根据HbA1c水平,将120例T2DM合并AMI患者分为五组:A组,HbA1c:4.00％～5.99％；B组,HbA1c:6.00％ ～6.99％；C组,HbA1c:7.00％ ～7.99％；D组,HbA1c:8.00％～8.99％；E组,HbA1c:≥9.00％.测定每例患者的血清肌酸激酶(CK)、血清肌酸激酶同工酶(CK-MB),计算CK-MB/CK比值.结果 五组比较,C组CK-MB/CK比值低于其余四组(P＜0.05).结论 HbA1c在7.00％～ 7.99％时CK-MB/CK比值最低,提示将HbA1c控制在7.00％～7.99％时老年T2DM合并AMI患者的心肌损伤程度最小.
目的 研究老年2型糖尿病(T2DM)閤併急性心肌梗死(AMI)患者糖化血紅蛋白(HbA1c)與肌痠激酶及其同工酶的相關性.方法 根據HbA1c水平,將120例T2DM閤併AMI患者分為五組:A組,HbA1c:4.00％～5.99％；B組,HbA1c:6.00％ ～6.99％；C組,HbA1c:7.00％ ～7.99％；D組,HbA1c:8.00％～8.99％；E組,HbA1c:≥9.00％.測定每例患者的血清肌痠激酶(CK)、血清肌痠激酶同工酶(CK-MB),計算CK-MB/CK比值.結果 五組比較,C組CK-MB/CK比值低于其餘四組(P＜0.05).結論 HbA1c在7.00％～ 7.99％時CK-MB/CK比值最低,提示將HbA1c控製在7.00％～7.99％時老年T2DM閤併AMI患者的心肌損傷程度最小.
목적 연구노년2형당뇨병(T2DM)합병급성심기경사(AMI)환자당화혈홍단백(HbA1c)여기산격매급기동공매적상관성.방법 근거HbA1c수평,장120례T2DM합병AMI환자분위오조:A조,HbA1c:4.00％～5.99％；B조,HbA1c:6.00％ ～6.99％；C조,HbA1c:7.00％ ～7.99％；D조,HbA1c:8.00％～8.99％；E조,HbA1c:≥9.00％.측정매례환자적혈청기산격매(CK)、혈청기산격매동공매(CK-MB),계산CK-MB/CK비치.결과 오조비교,C조CK-MB/CK비치저우기여사조(P＜0.05).결론 HbA1c재7.00％～ 7.99％시CK-MB/CK비치최저,제시장HbA1c공제재7.00％～7.99％시노년T2DM합병AMI환자적심기손상정도최소.
Objective To investigate the relationship between HbA1 c and CK,CK-MB and CKMB/CK ratio in the elderly type 2 diabetes (T2DM) patients with acute myocardial infarction (AMI).Methods One hundred and twenty patients were divided into five groups according to the level of HbAlc:group A,HbA1 c:4.00％-5.99％ ; group B,HbA1 c:6.00％-6.99％ ; group C,HbA1 c:7.00％-7.99％ ; group D,HbA1c:8.00％-8.99％ ; group E,HbA1c:≥9.00％.The CK,CKMB were measured in all the cases,and the CK-MB/CK ratio was calculated.Results The CK-MB/CK ratio in group C was lower than the rest of the four groups (P ＜ 0.05).Conclusions When HbA1c controlled in 7.00％-7.99％,CK-MB/CK ratio is the lowest,so that myocardial damage of the elderly T2DM patients with AMI is the smallest.
