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目的:观察住院期间血糖升高对急性冠状动脉综合征(ACS)患者近期预后的影响。方法:对786例ACS患者入院4d内进行空腹血糖测定。根据空腹血糖,把患者分为糖尿病血糖异常组(空腹血糖>6·67mmol/L)、非糖尿病血糖异常组、血糖正常组(空腹血糖≤6·67mmol/L)。结果:496例(63·1%)ACS患者空腹血糖>6·67mmol/L,其中确诊糖尿病患者218例(27·7%),血糖升高组多为高龄女性,住院期间心肌缺血事件发生率及病死率明显高于血糖正常组(P<0·05)。结论:住院期间血糖升高是影响ACS患者预后的一个重要的危险因素,对血糖升高的患者应给予积极的治疗。
Objective: To observe the effect of hyperglycemia during hospitalization on the short-term prognosis of patients with acute coronary syndrome (ACS). Methods: Fasting plasma glucose was measured in 786 ACS patients within 4 days after admission. According to the fasting blood glucose, the patients were divided into diabetic patients with abnormal glucose (fasting blood glucose> 6.67mmol / L), non-diabetic patients with abnormal blood glucose and normal blood glucose (fasting blood glucose≤6.67mmol / L). Results: Fasting plasma glucose was 67.6 mmol / L in 496 ACS patients (63.1%), of which 218 (27.7%) were diagnosed with diabetes. Most hyperglycemia patients were elderly women with myocardial ischemia during hospitalization Rate and mortality were significantly higher than those in normal glucose group (P <0.05). Conclusion: Hyperglycemia during hospitalization is an important risk factor affecting the prognosis of patients with ACS, and should be actively treated in patients with elevated blood sugar.