| 急性高血糖在ST段抬高急性心肌梗死患者的相关预后中的作用 |
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| 引用本文： | 王淑琴. 急性高血糖在ST段抬高急性心肌梗死患者的相关预后中的作用[J]. 现代预防医学, 2011, 38(20): 4316-4317,4319 |
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| 作者姓名： | 王淑琴 |
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| 作者单位： | 乐山市市中区人民医院急诊科,乐山,614000 |
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| 摘 要： | [目的]分析急性高血糖对ST段抬高急性心肌梗死患者预后的影响。[方法]STEMI患者175例,分为A组:既往糖尿病史+急性高血糖组,B组:急性高血糖组,C组:无急性高血糖组;对3组患者入院时的各项指标和院内不良事件发生情况进行比较。[结果]C组患者血糖值和心肌酶明显低于A、B两组,差异有统计学意义(P﹤0.05);C组患者的Killip分级构成比与A、B两组明显不同,差异有统计学意义(P﹤0.05);B组患者心肌酶明显低于A组,差异有统计学意义(P﹤0.05);C组无院内不良事件的比例明显高于A、B两组,差异有统计学意义(P﹤0.05);C组的患者病死率明显低于A、B组,差异有统计学意义(P﹤0.05);随机血糖、心肌酶、Killip分级与院内不良事件发生率呈正相关。[结论]STEMI急性高血糖患者院内发生不良事件及死亡的危险性显著高于入院时血糖正常者。
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| 关 键 词： | 急性高血糖 ST段抬高 急性心肌梗死 |
ACUTE HYPERGLYCEMIA IN ST-ELEVATION MYOCARDIAL INFARCTION PROGNOSTIC ROLE |
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| WANG Shu-qin. ACUTE HYPERGLYCEMIA IN ST-ELEVATION MYOCARDIAL INFARCTION PROGNOSTIC ROLE[J]. Modern Preventive Medicine, 2011, 38(20): 4316-4317,4319 |
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| Authors: | WANG Shu-qin |
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| Affiliation: | WANG Shu-qin.(Emergency Department,the Center Hospital of People’s Hospital of leshan,Leshan 614000,China) |
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| Abstract: | [Objective]To analyze the acute hyperglycemia on the ST-segment elevation acute myocardial infarction prognosis.[Methods]175 patients with STEMI were divided into A group:previous history of diabetes + acute hyperglycemia group,B group:acute hyperglycemia group,C group:no acute hyperglycemia group;patients on admission and hospital adverse indicators events were compared.[Results]C group were significantly lower than the blood glucose values ??and enzyme A and B group,the difference was statistically signif... |
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| Keywords: | Acute hyperglycemia ST segment elevation Acute myocardial infarction |
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