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急性心肌梗塞(AMI)早期血糖升高为一常见现象,就其与三大合并症及是否需用降糖药物治疗做一探讨。1 一般资料本文107例AMI患者均为我院1987年2月以来的住院病人,符合WHO诊断标准。发病前均无糖尿病史,其中男78例,女29例。均于入院次日采空腹血糖为准。凡高于正常者在第3、7、14及21天进行复查,直至恢复正常。根据血糖水平分为三组:低组<3.9mmol/L,正常组3.9～5.6mmol/L,>5.60mmol/L为高组。高组又分轻度(5.61～6.6mmol/L)、中度(6.61～7.8mmol/L)和重度>(7.81mmol/L)升高三个亚组。
Acute myocardial infarction (AMI) early high blood sugar is a common phenomenon, with its three major complications and whether the need for hypoglycemic drugs to do a discussion. 1 General Information 107 cases of AMI patients in our hospital since February 1987 inpatients, in line with WHO diagnostic criteria. Before the onset of no history of diabetes, including 78 males and 29 females. On the day after admission, fasting blood glucose should prevail. Any higher than normal in the 3rd, 7th, 14th and 21 days to review, until returned to normal. Divided into three groups according to blood glucose levels: low group <3.9mmol / L, normal group 3.9 ~ 5.6mmol / L,> 5.60mmol / L for the high group. The high group also sub-mild (5.61 ~ 6.6mmol / L), moderate (6.61 ~ 7.8mmol / L) and severe> (7.81mmol / L) increased three subgroups.