应激性血糖升高在急性心肌梗死中的临床意义

Clinical significance of stress hyperglycosemia in acute myocardial infarction

目的:探讨应激性血糖升高在急性心肌梗死中的临床意义。方法:选取舞钢市人民医院收治的急性心肌梗死患者76例,分为血糖正常组和血糖异常组,分别测定两组的随机血糖水平。比较两组间心力衰竭、心律失常及死亡率的发生率。结果:应激性血糖升高的急性心肌梗塞患者具有较高的心力衰竭、心律失常及死亡率的发生率。结论:急性心肌梗死患者血糖水平应激性升高提示预后差,有较高的心力衰竭、心律失常及死亡率的发生率。

Objective： To investigate the clinical significance of stress hyperglycosemia in acute myocardial infarction. Methods： Seventy six acute myocardial infarction patients were chosen and divided into normal blood sugar group and abnormal blood sugar group according to their level of fasting blood sugar. The occurring rate of heart failure^arrhythmia and death rate were compared hetween the two groups. Results： The occurring rate of heart failure,arrhythmia and death rate were all high in abnormal blood sugar group. Conclusion ： There is a bad prediction of acute myocardial infarction combined with increase of stress hyperglycosemia. It has a great clinical significance occurring rate of heart failure,arrhythmia and death rate in acute myocardial infarction.