糖代谢异常与急性冠脉综合征患者预后的关系

目的：探讨急性冠脉综合征（ACS）患者糖代谢异常与心血管事件发生的关系。方法：对183例ACS患者于入院次日清晨行简化VI服葡萄糖耐量试验（OGTT），根据OGTT结果将患者分为糖尿病（DM）组40例，糖调节异常（IGR）组58例，糖耐量正常（NGT）组85例，对比分析不同糖代谢状况30d内心血管事件的发生率。结果：DM组30d内心血管事件发生率明显高于IGR组及NGT组（P〈0．05），而IGR组心血管事件发生率亦高于NTG组（P〈0．05）。结论：糖代谢异常和急性冠脉综合征患者30d预后较差有关，临床应加强对ACS患者的血糖控制。

Relationship between glycometabolism dysfunction and prognosis of patients with acute coronary symptom

Objective:To evaluate the relationship between glycometabolism dysfunction and the prognosis of the patients with acute coronary symptoms(ACS).Methods:A total of 183 ACS patients had been examined by the simplification oral glucose tolerance test(OGTT)were divided into the diabetes(DM)group(40 examples),impaired glucose regulation(IGR)group(58 examples)and normal glucose tolerance(NGT)group(85 examples)according to the OGTT results.The rates of cardiovascular events within 30 days in three groups were compared.Results:The rate of cardiovascular events in the DM group was higher than that of IGR group and NGT group(P<0.05).The cardiovascular events rate in IGR group was also higher than that of NTG group(P<0.05).Conclusion:Glycometabolism dysfunction is correlated with the bad prognosis of ACS patients.The control of ACS patient's blood sugar shall be strengthened in clinic.