| 急性心肌梗死中胰岛素的作用 |
| |
| 引用本文： | 姜巧珍,南景龙,刘永刚. 急性心肌梗死中胰岛素的作用[J]. 内蒙古医学杂志, 2005, 37(1): 10-12 |
| |
| 作者姓名： | 姜巧珍 南景龙 刘永刚 |
| |
| 作者单位： | 内蒙古自治区医院心内科,内蒙古,呼和浩特,010017;内蒙古自治区医院心内科,内蒙古,呼和浩特,010017;内蒙古自治区医院心内科,内蒙古,呼和浩特,010017 |
| |
| 摘 要： | 目的：为探讨急性ST段抬高的心肌梗死用尿激酶(UK)溶栓后应用胰岛素的作用。方法：选取32例急性心梗患者均接受尿激酶溶栓后随机分成两组，其中一组静脉点滴葡萄糖、胰岛素及氯化钾(GIK)，另一组静点生理盐水和氯化钾，分别持续用48h。在48h内测定CK，CKMB的变化及在90min内测量抬高ST段下降百分比。结果：在胰岛素组中CK及CKMB峰值提早且趋向于减低，特别是在前壁心梗的患者当中。结论t在急性心梗中胰岛素有纤溶酶的作用。
|
| 关 键 词： | 胰岛素(insulin) 肌酸激酶(CK) 急性心肌梗死(AMI) |
| 文章编号： | 1004-0951(2005)01-0010-03 |
Effect of Insulin on Acute Myocardial Infarction |
| |
| JIANG Qiao-zhen,NAN Jing-long,LIU Yong-gang. Effect of Insulin on Acute Myocardial Infarction[J]. Inner Mongolia Medical Journal, 2005, 37(1): 10-12 |
| |
| Authors: | JIANG Qiao-zhen NAN Jing-long LIU Yong-gang |
| |
| Abstract: | Objective:To explore the effect of insulin in patients with ST-elevation myocardial infarction(STEMI) after thrombolytic therapy by urokinase.Methods:32 patients receiving urokinase were randomized to receive intravenous glucose-insulin-potassium(GIK) or normal saline and potassium for 48 hours.The levels of CK and CKMB were measured in 48 hours.The percent of ST-descent was measured at 90 minutes.Results:The peaks of CK and CKMB reached earlier and tended to decrease in patients treated with insulin,especially in inferior MI.Conclusion:Insulin has an profibrinolytic effect in acute MI. |
| |
| Keywords: | Insulin Creatine kinase(CK) Acute myocardial infarction(AMI) |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
