急性心肌梗死院内死亡患者不同入院血糖水平的临床特点

Clinical characteristics of admission blood glucose level in patients with acute myocardial infarction dying in hospital

目的:分析急性心肌梗死(AMI)院内死亡患者不同入院血糖水平的临床特点。方法:收集因AMI住院,且期间发生死亡的148例患者,统计发病至死亡时间、入院血糖等资料,其中有入院血糖的有效病例为115例。根据入院血糖将这115例患者分为3组,<7mmol/L组(29例)、7～11mmol/L组(47例)和>11mmol/L组(39例),比较3组患者从发病到死亡时间、梗死部位、死亡原因等有无统计学差异。结果:3组患者发病至死亡时间(P=0.830)、梗死部位(P=0.189)、死亡原因(P=0.255)均差异无统计学意义。结论:对于AMI危重患者,入院血糖并不是影响临床结局的决定性因素。

Objective：To analyze clinical characteristics of admission blood glucose level in patients with acute myocardial infarction（AMI） dying in hospital.Method：One hundred and forty-eight patients dying of AMI who were admitted to Fuwai hospital from September 2006 to September 2009 were retrospectively analyzed.The patients’ history characteristics,admission blood glucose and time of onset to death were recorded.And 115 cases including admission glucose were valid,and they were divided into 3 groups,admission blood glucose 11 mmol/L（n=39）.We analyzed the effect of admission blood glucose level on time of symptom onset to death,infarction sites and causes of death.Result：There was no significant difference in time of onset to death（P=0.830）,infarction sites（P=0.189） and causes of death（P=0.255） among the three groups.Conclusion：The admission blood glucose is not the most important factor determining clinical outcomes in patients with AMI.