摘要
目的探讨应激性高血糖对急性心肌梗死(AMI)患者心功能及并发症的影响。方法选择2012年1月—2013年5月于发病24h内住院的AMI患者84例,入院后根据血清空腹血糖(FPG)、糖化血红蛋白(HbA1c)测定的结果,分为AMI合并应激性高血糖患者54例(观察组)和AMI未合并应激性高血糖患者39例(对照组)。检测两组患者血清NT-proBNP水平,观察住院期间并发症的发生情况。结果观察组患者血清NT-proBNP水平高于对照组,差异有统计学意义(P<0.05);住院期间观察组心血管事件发生率为64.4%,高于对照组的28.2%,差异有统计学意义(P<0.05)。结论 AMI合并应激性高血糖患者心功能损害严重,且易发生心血管事件,血清NT-proBNP水平检测可判断心功能损害程度及观察临床疗效。
Objective To discuss the effect of stress hyperglycemia on cardiac function and complications in patients with acute myocardial infarction （AMI）. Methods 84 patients with AMI form January 2012 to May 2013 were selected, which was hospitalized on pathogenic 24h. They were divided into AMI complicated with stress hyperglycemia of 54 cases （observation group） and AMI non stress hyperglycemia of 39 cases （control group） according to the determined results serum of fasting blood glucose （FPG） and glycosylated hemoglobin （HbA,o）. The serum NT- proBNP levels of two groups were detected, complica- tions were observed during hospitalization. Results The serum NT - proBNP level of observation group was higher than that of control group, the difference was statistically significant （P 〈 0. 05 ） ; During hospitalization, cardiovascular event rates in ob- servation group was 64.4%, which was higher than that of control group of 28.2%, the difference was statistically significant （P 〈 0.05）. Conclusion AMI merger irritability hyperglycemia in patients with cardiac damage is severe, and easy to occur cardiovascular events, serum NT - proBNP level detection can diagnose cardiac damage degree and help observe the clinical effi- cacy.
出处
《实用心脑肺血管病杂志》
2013年第9期29-30,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
心肌梗死
高血糖症
心功能
并发症
Myocardial infarction
Hyperglycemia
Cardiac function
Complications
