急性心肌梗塞患者血糖、肾功及血尿酸变化的临床意义

The clinical significance of blood sugar,serum creatinine and uric acid in patients with acute myocardial infarction

目的讨论血糖、血肌酐及血尿酸变化与急性心肌梗塞(Acute myocardial infarction,AMI)的关系。方法选择我院确诊AMI患者115例,分析其血糖、血肌酐、尿酸水平,进一步探讨应激性血糖升高对AMI预后的影响,及AMI后血糖与血肌酐(Cr)、尿酸(UA)之间的关系。结果血糖升高68例,占44.8%,血肌酐升高36例,占32.0%,血尿酸85例,占74.0%。急性心肌梗塞患者不同血糖水平、Cr、UA差异具有统计学意义。结论急性心肌梗塞患者应激性血糖升高伴有血肌酐、尿酸的升高,并影响预后。

Objective To study the clinical significance of blood sugar, serum creatinine and uric acid in acute myocardial infarction （AMI）. Methods The blood sugar, serum creatinine and uric acid in 115 patients with acute myocardial infarction were detected and its relationship with prognosis was analyzed. Results There were 68 cases with increased blood sugar （44.8%）, 36 cases with increased serum creatinine （32%）, 85 cases with increased serum uric acid （74%）. Conclusion The levels of blood sugar, serum creatinine and serum uric acid would increase in patients with acute myo- cardial infarction.