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目的:分析冠状动脉的病变程度与应激性高血糖水平的关系。方法:选择126例接受冠状动脉造影的非糖尿病急性冠状动脉综合征住院患者并监测其入院后24h内血糖水平。根据冠状动脉病变的程度分为单支病变组、双支病变组和多支病变组。结果:多支病变组入院24h内血糖值显著高于双支病变组[(9.9±1.0)mmol/L∶(7.6±1.3)mmol/L]及单支病变组[(9.9±1.0)mmol/L∶(5.9±0.4)mmol/L],均P<0.01。双支病变组入院24h内血糖值同样显著高于单支病变组[(7.6±1.3)mmol/L∶(5.9±0.4)mmol/L),P<0.01。结论:在非糖尿病急性冠状动脉综合征患者中,急性期血糖值在一定程度与冠状动脉病变程度相关。
OBJECTIVE: To analyze the relationship between coronary artery lesions and stress hyperglycemia. Methods: 126 inpatients with non-diabetic acute coronary syndrome undergoing coronary angiography were enrolled and their blood glucose levels were monitored within 24 hours after admission. According to the degree of coronary artery disease is divided into single-vessel disease group, double-vessel disease group and multi-vessel disease group. Results: The blood glucose levels in the multi-vessel disease group were significantly higher than those in the double-vessel disease group (9.9 ± 1.0 mmol / L vs 7.6 ± 1.3 mmol / L vs 9.9 ± 1.0 mmol / L: (5.9 ± 0.4) mmol / L], all P <0.01. The blood glucose level in patients with double-vessel disease within 24h was also significantly higher than that in patients with single vessel disease [(7.6 ± 1.3) mmol / L vs (5.9 ± 0.4) mmol / L, P <0.01). CONCLUSION: In patients with non-diabetic acute coronary syndromes, the acute phase blood glucose level is related to the severity of coronary artery disease to a certain extent.