无糖尿病心力衰竭患者高血糖的意义

Significance of high blood glucose level in nondiabetic patients with heart failure

目的:探讨无糖尿病史的冠状动脉硬化性心脏病(冠心病)与高血压心脏病(高心病)心力衰竭(心衰)患者血糖与心衰病情和预后的关系。方法:对220例无糖尿病的冠心病与高心病与心衰住院患者进行空腹与餐后2h的血糖测定,将血糖水平与患者心衰与住院死亡率进行统计学分析。结果:研究发现冠心病与高心病心衰血糖水平升高者207例(94.1%)。其中,糖调节受损68例(32.9%),高血糖124例(59.9%),达糖尿病诊断阈值15例(7.2%),严重心衰糖代谢的紊乱为多(P<0.05)。在住院死亡26例中,糖调节受损4例(15.4%),高血糖16例(61.5%),达糖尿病诊断阈值6例(23.1%),以糖代谢紊乱组为主(P<0.05)。结论:无糖尿病史的冠心病与高心病心衰患者糖代谢紊乱与病情严重性及死亡率增加有关。

Objective： To evaluate the significance of high blood glucose level in nondiabetic patients with heart failure （HF） of coronary heart disease （CHD） and hypertension heart disease （HI.ID）. Methods： We analyzed the blood glucose level of fasting and 2 hours after meal in 220 patients of nondiabetic with HF of CHD and HHD, to study relative of high blood glucose and severity and prognosis of HF. Results： Our study recovering high blood glucose level in-hospital HF of CHD and HHD had 207 cases （94.1%）. Regulating damage of blood glucose had 68 cases （32.9%）, high blood glucose had 124 cases （59.9%）, to threshold value of diabetes had 15 cases （7.2%）. In 26 dead cases, there are high blood glucose and severe HF. Regulating damage of blood glucose had 4 cases （15.4%）, high blood glucose had 16 cases （61.5%）, and threshold value of diabetes had 6 cases （23.1%）. Conclusion： Elevated blood glucose level is associated with severity of HF and increased in-hospital mortality in nondiabetic patients with HF of CHD and HHD.