非糖尿病急性冠状动脉综合征与急性高血糖的关系

目的:分析冠状动脉的病变程度与应激性高血糖水平的关系.方法:选择126例接受冠状动脉造影的非糖尿病急性冠状动脉综合征住院患者并监测其入院后24 h内血糖水平.根据冠状动脉病变的程度分为单支病变组、双支病变组和多支病变组.结果:多支病变组入院24 h内血糖值显著高于双支病变组[(9.9±1.0 )mmol/L∶(7.6±1.3 )mmol/L]及单支病变组[(9.9±1.0) mmol/L∶(5.9±0.4 )mmol/L],均P＜0.01.双支病变组入院24 h内血糖值同样显著高于单支病变组[(7.6±1.3) mmol/L∶(5.9±0.4 )mmol/L),P＜0.01.结论:在非糖尿病急性冠状动脉综合征患者中,急性期血糖值在一定程度与冠状动脉病变程度相关.

Association between coronary artery stenosis and acute hyperglycemia in non-diabetic patients with acute coronary syndrome

Objective:To observe the relationship between coronary artery stenosis and acute hyperglycemia in non-diabetic patient with acute coronary syndrome (ACS).Method:Blood glucose level were monitored after admission within 24 h in the total of 126 cases of ACS who received angiography. According to the degree of coronary artery disease,all patients were divided into three groups:single-vessel, double-vessel, multi-vessel lesions group. Result:Blood glucose within 24 h admission of multi-vessel group was significantly higher than that of double-vessel group ([9.9±1.0]mmol/L vs [7.6±1.3]mmol/L,P<0.01), as well as that of single-vessel group ([9.9±1.0]mmol/L vs [5.9±0.4]mmol/L,P<0.01). Apparenty, blood glucose of double-vessel group was significantly higher than that of single-vessel group ([7.6±1.3]mmol/L vs [5.9±0.4]mmol/L,P<0.01).Conclusion:The blood glucose levels in acute phase are associated with the degree of coronary artery stenosis in nondiabetic patients with acute coronary syndrome.