急性心肌梗死患者空腹血糖水平与近期心血管事件的相关性研究(1)
【摘要】 目的 探讨急性心肌梗死患者入院时空腹血糖水平与急性期临床心血管事件发生率之间的关系，为临床实践提供理论依据。方法 选取2005年1月至2007年12月急性心肌梗死发病24 h之内入本院的138例患者为研究对象，根据入院后第2天空腹血糖水平和既往有无糖尿病史分为2组：糖代谢正常组：血糖≤6.0 mmol/L；糖代谢异常组：血糖>6.0 mmol/L或既往确诊糖尿病者，比较2组患者一般临床资料和住院期间心血管事件(充血性心力衰竭、严重心律失常、心源性休克、心源性死亡)的发生情况。结果 糖代谢异常组严重心律失常、充血性心衰、心源性休克的发生率显著高于糖代谢正常组(P6.0 mmol/L or previously diagnosed diabetes mellitus.Record the cardiovascular events of the two groups in hospital(congestive heart failure,severe arrhythmias,cardiogenic shock,cardiac death).Results The following morbidity of cardiovascular events in abnormal glucose metabolism group than thosein normal glucose metabolism group:severe arrhythmias,congestive heart failure,cardiogenic shock.There were no significant differences between the groups in morbidity of cardiac death.Conclusion This study showed the patients with abnormal glucose metabolism had a high morbidity of cardiovascular events in short term; Fasting glucose was an important influence factor in congestive heart failure and cardiac death in short term; Heart function was an important influence factor in cardiogenic shock,severe arrhythmias and cardiac death in short term. ......
您现在查看是摘要页，全文长 3288 字符。