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目的探究急性心肌梗死病人不同时期血糖、血脂和血压变化及其与预后的关系。方法选取我院心血管内科收治并确诊为急性心肌梗死病人217例,根据病情发展不同阶段分为3组,急性期组(83例)、缓解期组(62例)和恢复期组(72例)。分别检测3组病人血糖、血脂及血压,并将检测结果与预后情况、死亡率等进行比较。结果 3组病人血糖比较,急性期血糖值显著高于缓解期及恢复期,差异有统计学意义(P<0.05);血脂比较,急性期、缓解期病人血脂均高于恢复期,差异有统计学意义(P<0.05),且急性期血脂升高最显著;血压比较,急性期病人血压显著高于缓解期及恢复期病人,差异有统计学意义(P<0.05)。急性期病人死亡率(10.8%)显著高于恢复期(8.1%)和缓解期(8.3%),差异有统计学意义(P<0.05)。血糖、血脂及血压越高,则病人治愈率越低,死亡率及致残率越高,差异有统计学意义(P<0.05)。结论急性心肌梗死病人急性期血糖、血脂及血压水平显著升高,随着病情稳定,缓解期及恢复期病人血糖、血脂及血压水平逐渐下降;病人的预后死亡率与血糖、血脂及血压等呈正相关。
Objective To investigate the changes of blood glucose, blood lipid and blood pressure in patients with acute myocardial infarction at different stages and their relationship with prognosis. Methods Two hundred and seventy-one patients with acute myocardial infarction who were admitted to our hospital and were diagnosed as having acute myocardial infarction were divided into three groups according to different stages of disease development: acute group (83 cases), remission group (62 cases) and convalescent group (72 cases ). Blood glucose, blood lipid and blood pressure were measured in 3 groups of patients respectively, and the results were compared with prognosis, mortality and so on. Results Compared with the control group, the blood glucose of the three groups was significantly higher than that of the remission stage and recovery stage (P <0.05). The levels of blood lipids in acute phase and remission stage were higher than those in recovery stage (P <0.05), and the most significant increase of blood lipids in acute phase. Compared with the blood pressure, the blood pressure of patients in acute phase was significantly higher than those in remission and convalescent phase (P <0.05). The acute patient mortality rate (10.8%) was significantly higher than the recovery (8.1%) and remission (8.3%), the difference was statistically significant (P <0.05). The higher the blood glucose, blood lipids and blood pressure, the lower the cure rate of patients, the higher the mortality and disability rate, the difference was statistically significant (P <0.05). Conclusions Patients with acute myocardial infarction have a significant increase in blood glucose, blood lipids and blood pressure during the acute phase. With stable disease, the levels of blood glucose, blood lipids and blood pressure gradually decrease in patients with acute myocardial infarction. The prognosis mortality is positively correlated with blood glucose, blood lipids and blood pressure Related.