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目的:分析急性心肌梗死(AMI)院内死亡患者不同入院血糖水平的临床特点。方法:收集因AMI住院,且期间发生死亡的148例患者,统计发病至死亡时间、入院血糖等资料,其中有入院血糖的有效病例为115例。根据入院血糖将这115例患者分为3组,<7mmol/L组(29例)、7~11mmol/L组(47例)和>11mmol/L组(39例),比较3组患者从发病到死亡时间、梗死部位、死亡原因等有无统计学差异。结果:3组患者发病至死亡时间(P=0.830)、梗死部位(P=0.189)、死亡原因(P=0.255)均差异无统计学意义。结论:对于AMI危重患者,入院血糖并不是影响临床结局的决定性因素。
Objective: To analyze the clinical features of different hospitalized blood glucose levels in hospitalized patients with acute myocardial infarction (AMI). Methods: A total of 148 patients with AMI hospitalized during the period of hospitalization were enrolled in the study. Statistics included the incidence of death, admission blood glucose and other data. Among them, there were 115 cases of effective admission of blood glucose. The 115 patients were divided into 3 groups according to the blood glucose of admission: 7 mmol / L group (29 cases), 7 ~ 11 mmol / L group (47 cases) and> 11 mmol / L group To the time of death, infarction, the cause of death, such as whether there is a statistically significant difference. Results: There were no significant differences between the three groups in onset to death (P = 0.830), infarction (P = 0.189) and cause of death (P = 0.255). CONCLUSIONS: Blood glucose is not a decisive factor in clinical outcomes in critically ill patients with AMI.