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目的探讨应激性高血糖(SHG)与急性心肌梗死(AMI)冠脉病变情况的关系。方法根据急性心肌梗死早期的血糖数值将60例AMI患者分为两组,A组血糖≥7.0 mmol/L,B组血糖<6.1 mmol/L,对两组的患者冠脉造影结果进行分析。结果 A组相关血管近端病变、梗死相关血管为前降支或右冠明显多于B组(P<0.05),A组病变血管为双支以上或弥漫性病变的例数明显多于B组(P<0.05)。结论 AMI合并SHG的梗死相关血管多为前降支或右冠近端病变,且两支以上或弥漫性病变的比例较高,预后较差。
Objective To investigate the relationship between stress hyperglycemia (SHG) and coronary artery disease in acute myocardial infarction (AMI). Methods Sixty patients with AMI were divided into two groups according to the blood glucose level in the early stage of acute myocardial infarction. The blood glucose level was 7.0 mmol / L in group A and 6.1 mmol / L in group B. The results of coronary angiography were analyzed in both groups. Results In group A, the number of proximal vascular lesions and infarct-related vessels in group A was significantly more than that in group B (P <0.05). The number of vessels in group A with more than double vessels or diffuse lesions was significantly higher than that in group B (P <0.05). Conclusions Most of the infarct-related blood vessels in AMI combined with SHG are proximal anterior descending coronary artery or proximal right coronary artery, and the proportion of more than two or more diffuse lesions is higher with a worse prognosis.