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本文研究了34例急性心肌梗塞(AMI)患者血浆儿茶酚胺(CA)、游离三碘甲状腺原氨酸(FT3)β.内啡吠(β-Ep)、生长激素(GH)、胰岛素(INS)、胰高血糖素(Glu)和血糖(G)的变化,其中14例入院2周内进行连续测定,发现AMI后48小时内血浆去甲肾上腺素(NE)、肾上腺素(E)、β-Ep、GH、Glu、G均明显高于健康对照组,FT3、INS明显低于健康对照组,并且心功能不全越重,NE、EFT3、β-Ep、INS及G变化就越大。相关性分析显示:G与NE、E、β-Ep呈明显正相关,与FT3和INS呈明显负相关。14例患者短期观察也发现其G代谢紊乱受众多因素影响,并随时间变化而变化,提示,AMI患者血糖浓度改变有助于病情严重度的估价。
In this paper, 34 patients with acute myocardial infarction (AMI) plasma catecholamine (CA), free triiodothyronine (FT3) β. The changes of β-Ep, GH, INS, Glu and G in 14 patients were measured continuously within 2 weeks after admission, and it was found that 48 The levels of norepinephrine (NE), epinephrine (E), β-Ep, GH, Glu and G were significantly higher in the first hour than those in the healthy control group. FT3 and INS were significantly lower than those in the healthy control group , NE, EFT3, β-Ep, INS and G changes more. Correlation analysis showed that: G and NE, E, β-Ep showed a significant positive correlation with FT3 and INS showed a significant negative correlation. Short-term observation of 14 patients also found that the G metabolic disorder affected by many factors, and changes over time, suggesting that AMI patients with changes in blood glucose levels contribute to the evaluation of the severity of the disease.