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目的探讨糖调节受损对急性心肌梗死(AMI)急诊经皮冠状动脉介入治疗(PCI)患者近期预后的影响。方法对237例急诊PCI的AMI患者的资料进行回顾性分析,根据入院时即刻测血糖及餐后2小时血糖(2h PBG),将患者分为A组(既往有明确糖尿病史),B组(即刻血糖(6.1～(7.0mmol/L,2h PBG(7.8～(11.1mmol/L),C组(即刻血糖(6.1mmol/L,2h PBG(7.8mmol/L)。结果①A、B两组中女性所占比、平均年龄、平均住院天数、甘油三酯、低密度脂蛋白值及左主干病变、多支病变、PCI术前TIMI血流0-1级者明显高于C组,P(0.05,有统计学意义;而A、B两组比较P(0.05,无统计学意义。PCI术后梗死相关血管远端达TI-MI3级者,三者比较无统计学意义。②A、B两组住院期间及随访3～6个月发生不良心血管事件及病死率明显高于C组,P(0.05,有统计学意义,A、B两组比较无差异。结论糖调节受损的AMI患者急诊PCI后近期发生不良心血管事件及病死率与糖尿病的AMI患者相似,明显高于血糖正常患者,其预后较差。
Objective To investigate the effect of impaired glucose regulation on the short-term prognosis of acute myocardial infarction (AMI) patients undergoing percutaneous coronary intervention (PCI). Methods The data of 237 AMI patients with acute PCI were retrospectively analyzed. Patients were divided into group A (previously with a definite history of diabetes) and group B (group B) according to the blood glucose immediately after admission and 2 hours postprandial blood glucose (2h PBG) Immediate glucose (6.1 mmol / L, 2h PBG and 7.8 mmol / L respectively) and group C (immediate blood glucose (6.1 mmol / L and 2h PBG) The proportion of female, average age, average length of hospital stay, triglyceride, LDL value, left main trunk lesion and multi-vessel disease were significantly higher than those in group C , But there was no significant difference between A and B groups (P> 0.05), there was no significant difference between the two groups (P> 0.05) During hospitalization and follow-up 3 to 6 months of adverse cardiovascular events and mortality was significantly higher than the C group, P (0.05, with statistical significance, there was no difference between the two groups A and B. Conclusion AMI patients with impaired glucose regulation of emergency Adverse cardiovascular events and fatality rates after PCI are similar to AMI patients with diabetes mellitus, which are significantly higher than those with normal blood glucose and have a poor prognosis.