【摘要】 目的:观察入院血糖升高对急性ST段抬高心肌梗死(STEMI)患者预后的影响。方法:入选243例急性STEMI患者,根据入院即刻血糖水平分为高血糖组(血糖>11 mmol/L,55例)和血糖正常组(血糖≤11 mmol/L,188例),观察两组患者院内死亡和心血管事件的发生情况。结果:无论是否合并糖尿病,高血糖组患者院内死亡率较血糖正常组患者显著增加(14.5%比5.3%,P=0.009),院内心血管事件的发生率亦显著增多(32.7%比20.7%,P=0.026)。结论:急性STEMI高血糖患者院内死亡及发生心血管事件的危险性显著高于入院血糖正常者。更多还原

【Abstract】 Objective: To investigate the influence of elevated admission blood glucose level on the prognosis in patients with acute ST-segment elevation myocardial infarction (STEMI). Methods: 243 cases with acute STEMI, according to the levels of the admission glucose, these patients were divided into two groups: a high glucose group(>11 mmol/L) and a normal glucose group (≤11 mmol/L),The in-hospital mortality and cardiovascular events were compared between the two groups. Results: Whether or not with diabetes, the in-hospital mortality rate was significantly higher in patients with high glucose group than normal glucose group(14.5% VS 5.3%, P=0.009). The rate of cardiovascular events was also higher in high glucose group (32.7% VS 20.7%, P=0.026). Conclusion: The rate of in-hospital mortality and cardiovascular events was significantly higher in acute STEMI patients with high admission glucose group than normal admission glucose group.更多还原