摘要
目的探讨糖尿病合并急性心肌梗死患者血糖波动及临床意义。方法回顾性分析糖尿病住院患者40例为研究对象,其中糖尿病合并急性心肌梗死患者20例,糖尿病合并稳定性冠心病患者20例,比较两组患者住院期间血糖的波动情况,分析其临床意义。结果心肌梗死组患者日内平均血糖波动幅度、日间血糖平均绝对差、餐后血糖波动幅度和餐后3h平均血糖水平显著高于稳定性冠心病组(P<0.05)。年龄、EF、日内平均血糖波动幅度是影响糖尿病合并急性心肌梗死患者GRACE积分的相关因素。结论日间血糖波动幅度增加了患者发生急性冠状动脉事件的风险.
Objective To discuss clinical significance of glucose fluctuation in patients with diabetes mellitus compli- cated with AMI. Methods Clinical data of 40 cases with diabetes mellitus were retrospectively analyzed, 20 cases with diabetes mellitus complicated with AMI, and 20 cases with diabetes mellitus complicated withstable CAD. Glucose fluctuation was compared and clinical significance was analyzed. Results Levels of MAGE, MODD, PPGE, 3h MPBG of group of AMI were higher than those of group of CAD （P 〈0.05）. Age, EF, MAGE showed associated with GRACE of patients with diabetes mellitus complicated with AMI （P 〈0.05）. Conclusion MAGE improve risks of GRACE of pa- tients with diabetes mellitus complicated with AMI.
出处
《中国现代医生》
2014年第12期36-38,共3页
China Modern Doctor
