入院血糖对非糖尿病急性心肌梗死患者冠脉病变及预后的影响

目的探讨非糖尿病患者入院时血糖水平与急性心肌梗死（AMI）冠脉病变程度及预后的关系。方法根据入院时血糖水平将94例经皮介入治疗（PCI）的非糖尿病的AMI患者分为2组,A组48例（血糖〈7.8 mmol/L）,B组46例（血糖≥7.8 mmol/L）。对比两组病人的平均住院日、射血分数、溶栓再通率、严重心律失常发生率、病死率及冠脉造影结果。结果 B组患者的射血分数明显低于A组、病死率明显高于A组（P〈0.05）,但两组患者的平均住院时间、溶栓再通率、严重心律失常发生率差异无统计学意义（P〉0.05）;B组发生多支血管病变的比例明显高于A组（P〈0.05）。结论非糖尿病AMI患者入院时血糖高者往往伴有多支血管病变,其心功能差,病死率高,入院时血糖水平可作为非糖尿病AMI患者预后判断的重要指标之一。

Effects of Admissional glucose on coronary artery disease and prognosis in nondiabetic patients with acute myocardial infarction

Objective To investigate the relation of admissional glucose levels with coronary artery disease and prognosis in patients with non-diabetic acute myocardial infarction（AMI）.Methods According to admissional glucose levels,94 patients percutaneous intervention（PCI） of non-diabetic AMI patients were divided into 2 groups,A group of 48 patients（blood glucose 7.8 mmol/L）,B group of 46 patients （glucose ≥ 7.8 mmol/L）.Compared two groups of patients,the average length of stay,ejection fraction,deep bolt recanalization rate,severe arrhythmia incidence,mortality and coronary angiography.Results B group of patients with ejection fraction was significantly lower than group A,mortality was significantly higher than that of A group（P0.05）,but the average length of stay,thrombolysis recanalization rate and the incidence of serious arrhythmias had no difference statistically significant（P 0.05）;B group had multivessel disease was significantly higher than the proportion of A group（P0.05）.Conclusion AMI patients with non-diabetic,high blood sugar on admission more often associated with multivessel disease,and it＇s heart function is poor,mortality is high,admissional glucose levels can be as an important indicator of prognosis in non-diabetic AMI patients.