血糖对急性ST段抬高心肌梗死再灌注治疗前冠状动脉血流的预测价值Blood glucose level and coronary blood flow before reperfusion in acute ST-segment elevation myocardial infarction
曾勇,黄超联,孙晓燕,陆爱民,康林,逯春鹏,商丽华,陈新,陈明哲
摘要(Abstract)：
目的评价急性ST段抬高心肌梗死(STEMI)患者血糖水平增高与急诊介入治疗(PCI)前患者冠状动脉TIMI血流的相关性。方法选择120例STEMI行急诊PCI治疗的患者,收集患者入院前全血血糖、PCI前冠状动脉造影梗死相关血管TIMI血流以及患者临床资料。血糖≥7·8mmol/L(140mg/dL)定义为高血糖症。结果在接受急诊PCI术前仅有18例(15%)患者冠状动脉造影血流达到TIMI3级,高血糖症患者87例(72·5%)。正常血糖组在PCI术前TIMI3级的患者多于高血糖症组(两组分别为27·3%和10·3%,P<0·01),但两组随诊期间主要心脏事件的发生率差异无统计学意义。结论高血糖症是STEMI患者PCI前冠状动脉TIMI血流重要的预测因素之一。
关键词(KeyWords)： 心肌梗死;高血糖症;血管成形术,经腔,经皮冠状动脉
基金项目(Foundation):
作者(Author): 曾勇,黄超联,孙晓燕,陆爱民,康林,逯春鹏,商丽华,陈新,陈明哲
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