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目的探讨应激性高血糖对急性心肌梗死患者住院期间预后的影响。方法选择82例急性心肌梗死患者,根据入院空腹血糖水平分为二组:A组52例,血糖水平<7.0mmol/L;B组30例,血糖水平>7.0mmol/L。对二组住院期间患者肌钙蛋白(cTnT)水平、脑钠肽(BNP)水平、严重心律失常发生率、病死率情况进行分析。结果 B组主要并发症的发生率、肌钙蛋白(cTnT)水平、BNP水平、住院期间病死率较A组显著增高,差异具有统计学意义。结论急性心肌梗死若并发应激性高血糖,则住院期间主要并发症的发生率和病死率均显著增加,预后差,应激性高血糖是急性心肌梗死患者住院期间预后不良的独立预测因子。
Objective To investigate the impact of stress hyperglycemia on the prognosis of patients with acute myocardial infarction during hospitalization. Methods 82 patients with acute myocardial infarction were enrolled and divided into two groups according to the fasting blood glucose level: 52 patients in group A, blood glucose level <7.0mmol / L, and 30 patients in group B with blood glucose level> 7.0mmol / L. The levels of cTnT, BNP, severe arrhythmia and mortality in two groups during hospitalization were analyzed. Results The incidence of major complications, the level of cTnT, the level of BNP and the mortality during hospitalization in group B were significantly higher than those in group A, the difference was statistically significant. Conclusion If acute myocardial infarction complicated by stress hyperglycemia, the incidence of major complications and mortality during hospitalization were significantly increased, with poor prognosis. Stress hyperglycemia was an independent predictor of poor prognosis during hospitalization in patients with acute myocardial infarction.