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目的探讨血糖对急性心肌梗死的预后影响。方法对30例糖尿病合并急性心肌梗死的患者,与同期非糖尿病合并急性心肌梗死的43例患者,采用相同的治疗常规。比较两者治疗效果及治疗后并发症及预后。结果治疗2周和4周后,两组空腹血糖有明显的差异;治疗4周后并发症及预后亦有显著差异,p均P<0.05。结论高血糖不仅可以加重急性心梗,而且严重影响治疗和预后。
Objective To investigate the effect of blood glucose on the prognosis of acute myocardial infarction. Methods Thirty-three patients with diabetes mellitus complicated with acute myocardial infarction were treated with the same treatment protocol as 43 patients with non-diabetic mellitus complicated with acute myocardial infarction. The curative effect and the complication and prognosis of the two groups were compared. Results After 2 and 4 weeks of treatment, there was a significant difference in fasting blood glucose between the two groups. Complications and prognosis were also significantly different after 4 weeks of treatment, both P <0.05. Conclusion Hyperglycemia can not only aggravate acute myocardial infarction, but also seriously affect the treatment and prognosis.