急性心肌梗死后血糖变化对预后的影响研究

目的：探讨急性心肌梗死后血糖变化对患者预后的影响。方法：对314例急性心肌梗死患者于入院后第2日早晨测空腹血糖值后,并进行回顾性对比分析。结果：随着血糖水平的逐渐升高,心力衰竭及心源性休克的发生率和病死率逐渐升高（P〈0.05）,严重心律失常的发生率逐渐升高,但差异无统计学意义（P〉0.05）。结论：急性心肌梗死患者伴应激性血糖升高者,随着血糖水平升高,其心力衰竭及心源性休克的发生率和病死率升高。血糖正常组预后明显好于血糖升高组。

Influence of changes of blood glucose on prognosis in patientswith acute myocardial infarction

Objective：To explore the prognostic influence of the changes of blood glucose in patients with acute myocardial infarction.Methods：A contrast analysis retrospectively of the fasting blood glucose on the 2nd day after admission in 314 patients with acute myocardial infarction.Results：With the blood glucose advanced,the rate of occurrence of heart failure,cardiogenic shock and case fatality rate were increased.Also the rate of occurrence of serious cardiac arrhythmias was increased,but without the difference of statis-tics.Conclusion：With the blood glucose advanced,the rate of occurrence of heart failure,cardiogenic shock and case fatality rate were increased in patients with stress hyperglycaemia after acute myocardial infarction.The prognosis of euglycemia group is superior to the glycemia group.