急性心肌梗死合并应激性高血糖的临床意义

Clinical significance of stress hyperglycaemia in patients with acute myocardial infarction

目的 探讨急性心肌梗死 (AMI)合并应激性高血糖 (stresshyperglycaemia,SHG)的临床意义。 方法 对137例AMI中合并SHG的临床资料进行对比分析。结果 显示AMI合并SHG的发生率前壁组高于下壁组 (P <0 .0 5 ) ,合并SHG组肌酸磷酸激酶 (CPK)峰值高于不合并SHG组 (P <0 .0 5 ) ,合并SHG对AMI患者住院期间心衰、心源性休克、心律失常及死亡的发生率有较大影响。结论 表明AMI合并SHG患者梗死面积大 。

Objective To study the clinical significance of stress hyperglycaemia(SHG) in patients with acute myocardial infarction(AMI).Methods A contrast analysis of the clinical data was performed on 137 AMI cases with the complication of SHG.Results The complication rate of SHG in anterior wall group of AMI was higher than that of the inferior wall group(P< 0.05 ),and the peak of creatine phosphokinase(CPK) was higher in the group with SHG than that in the group without SHG(P< 0.05 ),the AMI patients with SHG had greater influence on the incidence of in hospital cardial failure,cardiogenic shock,dysrhythmias and mortality.Conclusion Larger infarction area in the patients with SHG signifies poor prognosis in the near future.