急性心肌梗死急性早期空腹高血糖与住院新发心房颤动关系的研究

目的 探讨AMI急性早期空腹高血糖与住院新发心房颤动的关系。方法 将来我院就诊的急性心肌梗死患者336例分为两组,对照组（n=195）/空腹高血糖组（n=141）;再次分组：心功能KillipⅠ级133例/79例、Ⅱ级52例/37例、Ⅲ～Ⅳ级10例/25例。结果 空腹高血糖组男性、有吸烟史、使用血管紧张素转换酶抑制剂、左心室射血分数较低、糖尿病史、心功能KillipⅡ~Ⅳ级、使用利尿剂、CK-MB较高（P〈0.05）;心功能KillipⅠ级男性较低,糖尿病史比例、房颤发生率、Ⅱ级房颤发生率较高（P〈0.05）;空腹高血糖是AMI患者住院期间发生房颤的影响因素（P〈0.05）。结论 将AMI空腹高血糖控制在良好水平有利于降低新发心房颤动发生率,对AMI患者疾病预后的改善有积极意义。

Relationship between fasting hyperglycemia in hospital and new-onset atrial fibrillation,acute myocardial infarction and acute early

Objective To investigate the relationship between fasting hyperglycemia and new-onset atrial fibrillation hospitalized AMI acute. Methods A total of 336 cases of acute myocardial infarction were divided into two groups, control group（n=195）/fasting hyperglycemia group（n=141）; Again grouped ：heart function Killip I grade（n=133/79）, Killip Ⅱ grade （n=52/37）,Ⅲ to Ⅳ grade（n=lO/25）. Results The proportion of male,patients with a history of smok- ing, using angiotensin-converting enzyme inhibitors,the left ventricular ejection fraction of the fasting hyperglycemia group was lower. The proportion of patients with a history of diabetes, heart function Killip Ⅱ to Ⅳstage,using di- uretics, CK-MB of the fasting hyperglycemia group was higher （P〈O.05）; The proportion of male of the fasting hyper- glycemia cardiac function Killip I grade was lower, the proportion of diabetes, the incidence of atrial fibrillation, the incidence of atrial fibrillation of the function Killip Ⅱ grade group was higher（P〈0.05）;Fasting hyperglycemia was the influence factors of atrial fibrillation occurred during the AMI hospitalization （P〈0.05）. Conclusion AMI fasting hyper- glycemia in a good level of control will help to reduce the incidence of new-onset atrial fibrillation, has a positive meaning in improving the prognosis of patients with AMI.