无糖尿病史急性冠脉综合征病人并发糖代谢异常的临床分析

目的探讨无糖尿病史急性冠脉综合征病人并发糖代谢异常的临床特点。方法分析急性冠脉综合征（ACS）病人164例，排除既往有糖尿病史病人。所有病人均于入院次日清晨抽血测空腹血糖及餐后2h血糖，并于出院前行口服葡萄糖耐量试验（OG-TT），根据OGTT结果将病人分为合并糖尿病组（DM）33例，合并糖调节异常组IGR（IGT／IFG）58例，糖代谢正常组（NGT）54例，合并应激性高血糖组（SHG）19例。对比分析不同糖代谢状况的临床特点。结果在ACS患者合并糖代谢异常病人占总数的一半以上，糖代谢紊乱组的血糖数据显著高于NGT组，DM组心血管事件的发生率明显高于IGR组、SHG组及NGT组，而IGR组心血管事件的发生率明显高于SHG组及NGT组。结论既往无糖尿病史急性冠脉综合征病人可能多数合并糖代谢异常，单纯检测空腹血糖可能漏诊相当数量的糖尿病前期病人和糖尿病病人。急性冠脉综合征病人并发糖代谢异常影响患者的预后。

Clinical analysis on acute coronary syndrome with aglycosuria history complicated with abnormal glucose metabolism

Objective To research the clinical features of acute coronary syndrome(ACS) with aglycosuria history complicated with glycometabolism disorder.Methods 164 patients of ACS with aglycosuria history included the study.According to WHO criterion in 1999,these cases were divided into four groups,diabetes group(DM,n=33),impaired glucose regulation group(IGR,n=58),normal glycometabolism group(NGT,n=54) and stress hyperglycemia group(SHG,n=19).All of subjects were evaluated by a series of clinical examination,such ...