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目的初步探讨血糖水平对急性冠脉综合征(ACS)患者预后的影响。方法选择2000年1月至2005年12月以急性冠脉综合征为诊断收住我急救中心内科的患者。入选患者567例,按清晨血糖水平分为正常、应激性高血糖(SHG)、糖尿病(DM)3个组,再按血糖值≤6.1 mmol/L、6.2~10.0 mmol/L、≥10.0 mmol/L分为A、B、C 3组。进行资料分析。结果567例中合并SHG者186例,其中发生急性心肌梗死(AMI)83例、左心室功能不全(LVF)10例、心源性猝死(CD)0例、ACS伴有DM者144例,发生AMI 79例、LVF 29例,严重心律失常17例、CD 9例;血糖正常组237例,发生AMI 52例、LVF 8例、CD 0例。结论血糖的升高对ACS预后的不良影响增加,对ACS患者的血糖应注意加强控制。
Objective To investigate the effect of blood glucose level on the prognosis of patients with acute coronary syndrome (ACS). Methods From January 2000 to December 2005, patients admitted to our emergency center with acute coronary syndrome were diagnosed. 567 patients were enrolled and divided into normal, stress hyperglycemia (SHG) and diabetes mellitus (DM) according to the morning blood glucose level, and then blood glucose value ≤6.1 mmol / L, 6.2-10.0 mmol / L, ≥10.0 mmol / L is divided into A, B, C 3 group. Data analysis. Results A total of 186 patients with SHG were included in 567 cases, including 83 cases of acute myocardial infarction (AMI), 10 cases of left ventricular dysfunction (LVF), 0 case of sudden cardiac death (CD) and 144 cases of ACS with DM 79 cases of AMI, 29 cases of LVF, 17 cases of severe arrhythmia, 9 cases of CD, 237 cases of normal blood glucose, AMI occurred in 52 cases, LVF in 8 cases, CD 0 cases. Conclusion Increased blood glucose has an adverse effect on the prognosis of ACS, and should be carefully controlled in patients with ACS.