刘挺松,陈一天,江时森,宫剑滨,张启高,彭永平,王立军,程训民,邹莺

• 1:南京军区南京总医院心脏内科
• 2:第二军医大学南京临床医学院心脏内科

摘要(Abstract)：

目的探讨急性心肌梗死早期不同糖代谢状态冠状动脉病变和介入治疗的差异。方法对连续99例既往无糖尿病史的急性心肌梗死患者进行动态血糖监测,比较不同糖代谢状态患者选择性冠状动脉造影和介入治疗情况。结果持续性血糖升高患者较血糖正常组和一过性血糖升高组三支病变比例(χ2=28.75,P<0.01)、动脉钙化病变(χ2=4.21,P<0.05)和长病变(χ2=4.01,P<0.05)比例以及Gensini积分在Q3(χ2=5.18,P<0.05)以及Q4(χ2=9.672,P<0.01)范围内的比例均显著升高、PCI术成功率显著降低(χ2=6.91,P<0.05)。结论心梗后早期持续性血糖升高患者冠状动脉病变最为严重,且介入治疗成功率低。

关键词(KeyWords)： 心肌梗死;糖尿病;冠状血管造影术

Abstract:

Keywords:

基金项目(Foundation): 中国人民解放军南京军区总医院院管课题(2010Q021)

作者(Author): 刘挺松,陈一天,江时森,宫剑滨,张启高,彭永平,王立军,程训民,邹莺

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