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糖尿病是冠心病主要危险因素,明显增加冠心病的发病率和病死率,目前已得到广泛重视。本文选取我院91例既往无糖尿病的急性心肌梗死患者发病初期清晨血糖水平予以分析,探讨不同应激血糖水平与近期预后的关系。1资料与方法1.1临床资料选取2008年1月至2011年1月我院住院确诊为急性心肌梗死患者91例,其中男53例,女38例,平均年龄65岁。其诊断标准符合2001年中华医学会心血管病学分会制定标准[1]。根据发病24h内空腹血糖水平将91例患者分为正常血糖组(SHG<6.1mmol/L)、应激性高血糖组(文献报道SHG界定值≥6.1～10.0mmol/L)。其中应激性高血糖
Diabetes is the main risk factor for coronary heart disease, significantly increased the incidence and mortality of coronary heart disease, has received widespread attention. In this paper, we selected 91 patients with past history of acute myocardial infarction without diabetes mellitus in the early onset of early blood glucose levels to analyze the relationship between different stress glucose levels and the recent prognosis. 1 Materials and Methods 1.1 Clinical data selected from January 2008 to January 2011 hospitalized diagnosed as acute myocardial infarction in 91 patients, including 53 males and 38 females, with an average age of 65 years. The diagnostic criteria in line with the 2001 Chinese Medical Association Cardiology credits to develop standards [1]. Ninety-one patients were divided into normal glucose group (SHG <6.1mmol / L) and stress hyperglycemia group (SHG defined value of 6.1 ~ 10.0mmol / L in the literature) according to the fasting blood glucose level within 24h. Which stress hyperglycemia