住院期间血糖升高对急性冠状动脉综合征患者近期预后的影响

目的:观察住院期间血糖升高对急性冠状动脉综合征(ACS)患者近期预后的影响。方法:对786例ACS患者入院4d内进行空腹血糖测定。根据空腹血糖,把患者分为糖尿病血糖异常组(空腹血糖>6·67mmol/L)、非糖尿病血糖异常组、血糖正常组(空腹血糖≤6·67mmol/L)。结果:496例(63·1%)ACS患者空腹血糖>6·67mmol/L,其中确诊糖尿病患者218例(27·7%),血糖升高组多为高龄女性,住院期间心肌缺血事件发生率及病死率明显高于血糖正常组(P<0·05)。结论:住院期间血糖升高是影响ACS患者预后的一个重要的危险因素,对血糖升高的患者应给予积极的治疗。

Prognosis of acute coronary syndromes patients with diabetes or hypergly caemia during admission

Objective: To assess the role of admission hyperglycemia on the prog nosis in patients with ACS. Method: There were 786 patients with acute coronary syndromes, Fasting blood sugar level on admission and in the next four days were recorded. Blood sugar >6.67 mmol/L was considered hyperglycemias. Result: Of 7 86 patients with ACS 218(27.7%) cases were diabetes mellitus, 496(63.1%) had blood sugar >6.67mmol/L on admission. Patie nt s with hyperglycemias were older, more often female, developed more complication s and had higher mortality (P<0.05). Conclusion: The admission blood sugar lever >6.67 mmol/L was an independent prognostic factor. More aggressive treatment f or hyper- glycaemia during admission is important.