非糖尿病急性冠脉综合征早期血糖升高的临床意义
血糖升高,,],冠状动脉粥样硬化；血糖,1资料与方法,2结果,3讨论,[参考文献]
[摘要] 目的 探讨非糖尿病急性冠脉综合征患者急性期血糖异常升高的发生情况及与冠心病危险程度的相关性。方法 选择无糖尿病史的急性冠脉综合征患者100例，根据病情分为ST段抬高的急性心肌梗死、非ST段抬高但肌钙蛋白Ⅰ阳性的急性冠脉综合征、肌钙蛋白Ⅰ阴性的不稳定型心绞痛。3组分别测发病时晨起空腹血糖，观察其血糖平均值及异常血糖的发生率。结果 3组中，无论是异常血糖的发生率还是空腹平均血糖水平，ST段抬高的急性心肌梗死均最高，肌钙蛋白Ⅰ阴性的不稳定型心绞痛相对较低，非ST段抬高但肌钙蛋白Ⅰ阳性的急性冠脉综合征居中。结论 血糖异常的发生率及程度与急性冠脉综合征的危险程度相关。[关键词] 冠状动脉粥样硬化；血糖
Significance of high blood glucose in nondiabetes acute coronal syndrome at early stage
CAI Song.
Department of Endocrinology，Longfu Hospital，Beijing 100010,China
[Abstract] Objective To investigate the clinical characterisrics of the patients with non-diabetes and ACS.Methods 100 ACS without diabetes were divided into three groups,25 with STsegment elevation myocardial infarction,36 with NSTEMI,39 with unstable angina.Fasting glucose were measured separately.Results The incidences of abnormal with fasting blood glucose is the highest in STEMI group than in NSTEMI groups and the UA group. The fasting glucose level have the same result.Conclusion The incidences and the degree of abnormal with fasting blood glucose is associated with the danger degree of ACS. ......
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