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目的探讨非糖尿病患者急性心肌梗死(AMI)早期血糖增高的临床特点及预后。方法非糖尿病AMI患者120例,根据空腹血糖(FBG)水平分为:Ⅰ组(FBG正常),Ⅱ组(6.1mmol/L≤FBG<10mmol/L),Ⅲ组(FBG≥10.0mmol/L)。对各组之间心肌酶学峰值、大面积梗死率、并发症、病死率进行对比分析。结果Ⅲ组上述观察指标明显高于Ⅰ、Ⅱ组(P<0.05)。结论非糖尿病患者AMI早期FBG≥10.0mmol/L,提示病情重、预后差。
Objective To investigate the clinical features and prognosis of early stage hyperglycemia in non-diabetic patients with acute myocardial infarction (AMI). Methods 120 patients with non-diabetic AMI were divided into group Ⅰ (FBG normal), group Ⅱ (6.1mmol / L≤FBG <10mmol / L), group Ⅲ (FBG≥10mmol / L) according to the level of fasting blood glucose . The peak of myocardial enzymology, large area infarction rate, complications and mortality were compared between the groups. Results The above indexes in group Ⅲ were significantly higher than those in groups Ⅰ and Ⅱ (P <0.05). Conclusion The non-diabetic AMI early FBG ≥ 10.0mmol / L, suggesting that the disease severity, poor prognosis.