老年非糖尿病急性心肌梗死患者应激性血糖升高的临床意义

Clinical significance of stress hyperglycosemia in old non diabetic patients with acute myocardial infarction

目的探讨老年非糖尿病急性心肌梗死患者应激性血糖升高的临床意义。方法选择急性心肌梗死患者52例,按空腹血糖测定水平分为血糖异常组(A组)22例和血糖正常组(B组)30例,比较2组临床症状、病死率。结果A组发病症状不典型,心力衰竭、心源性休克发生率与病死率均高。结论老年急性心肌梗死患者应激性血糖升高提示预后差,尽早有效控制血糖,对降低病死率有重要的临床意义。

Objective It is to explore the clinical significance of stress hyperglycosemia in old nondiabetic patients with acute myocardial infarction. Methods 52 cases of patients with acute myocardial infarction were chosen and divided into abnormal blood sugar group （group A, 22 cases） and normal blood sugar group （group B, 30 cases） according to their level of fasting blood sugar. Clinical symptoms and death rate were compared between the two groups. Results The clinical symptoms were not typical, and the occurring rate of heart failure and cardiac shock and death rate were all high in group A. Conclusion The prediction of old patients with acute myocardial infarction combined with increase of stress hyperglycosemia is bad. Effectively controlling blood sugar as early as possible has an important significance for decreasing mortality.