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目的探讨老年急性心肌梗死患者应激性血糖升高的临床意义。方法急性心肌梗死患者86例,分为A组(空腹血糖<6.0 mmol/L)、B组(6.1 mmol/L≤空腹血糖<8.0 mmol/L)和C组(空腹血糖≥8.0 mmol/L),对比分析各组临床症状、病死率。结果血糖明显升高组的心力衰竭、心源性休克发生率与病死率均高。结论老年急性心肌梗死患者应激性血糖升高提示病情重,病死率高,预后差。
Objective To investigate the clinical significance of stress-induced hyperglycemia in elderly patients with acute myocardial infarction. Methods A total of 86 acute myocardial infarction patients were divided into three groups: group A (fasting blood glucose <6.0 mmol / L), group B (6.1 mmol / L fasting blood glucose <8.0 mmol / L) and group C , Comparative analysis of each group clinical symptoms, case fatality rate. Results In the group with elevated blood glucose, heart failure, cardiogenic shock and mortality were both higher. Conclusion The increase of stress-induced hyperglycemia in elderly patients with acute myocardial infarction suggests severe illness, high mortality and poor prognosis.