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胰岛素强化治疗急性心肌梗死的临床价值探讨 被引量：1

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摘要 目的通过对比分析急性心肌梗死(AMI)强化胰岛素治疗与常规治疗在急性期和近期疗效指标的变化,探讨强化胰岛素治疗在AMI治疗方面的临床应用价值。方法根据156例AMI患者入院时的胰岛素抵抗(IR)水平和killip分级情况,将其随机分为胰岛素强化治疗组78人和常规治疗组78人两组,观察记录患者2 d后的疼痛缓解率和3个月后彩超检查心脏搏出量(SV)、左室舒张末期容积(EDV)和射血分数(EF)的结果。结果强化治疗组患者疼痛缓解率χ2=5.40,P<0.05及心脏SV(66±10)mL、EDV(106±9)mL和EF(0.62±0.08)水平均明显优于常规治疗组(57±12)mL,(118±7)mL,(0.51±0.09),P<0.05。结论常规联合强化胰岛素治疗可提高AMI患者的急性期和近期治疗效果。
作者 袁芳 杨永滨 赵军 王丽霞
机构地区 保定市第一医院 河北大学基础医学院
出处 《医学研究与教育》 CAS 2009年第3期37-38,共2页 Medical Research and Education
关键词 急性心梗 胰岛素抵抗 疼痛缓解率 彩超
分类号 R542.22 [医药卫生—心血管疾病]
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医学研究与教育
2009年 第3期

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