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目的探讨急性心肌梗死(AMI)患者血糖变化与病情及预后的关系。方法53例AMI患者分为病重组及普通组,均于发病48小时内检测空腹及餐后2小时血糖。结果AMI患者有32.08%的空腹血糖、28.30%的餐后2小时血糖有不同程度的升高,与对照组比较差异显著(P<0.01),病情愈重血糖愈高(P<0.05)。预后与空腹血糖、餐后2小时血糖及血浆粘度呈正相关。结论AMI患者血糖异常预示病情严重,是急性期预后不良的标志。
Objective To investigate the relationship between the changes of blood glucose and the disease and prognosis in patients with acute myocardial infarction (AMI). Methods Fifty-three patients with AMI were divided into two groups, ie, sick and severe group and normal group. All patients were tested for fasting and 2-hour postprandial blood glucose within 48 hours. Results The fasting blood glucose was 32.08% in AMI patients and 28.30% in 2 hours of postprandial blood glucose, which was significantly different from the control group (P <0.01). The heavier the disease was, the higher the blood glucose was (P <0.05). Prognosis and fasting blood glucose, 2-hour postprandial blood glucose and plasma viscosity was positively correlated. Conclusion The abnormal glucose level in AMI patients indicates the serious condition, which is a sign of poor prognosis in acute phase.