發(fā)布時間：2018-04-09 16:31

  本文選題：高血糖癥　切入點：急性心力衰竭　出處：《中國老年學雜志》2017年23期

【摘要】：目的探討高血糖癥對老年急性心力衰竭(AHF)患者短期預后的影響。方法對621例老年AHF患者進行回顧性分析,入院時血糖平均水平為7.6 mmol/L,其中41.1%患者有糖尿病病史。隨訪30 d,觀察患者臨床特征、治療過程、血流動力學狀態(tài)、生化指標及死亡率等情況。結果觀察30 d,有62例(10%)死亡,與存活者相比,死亡者有較高的平均血糖水平(9.2 mmol/L vs 7.3 mmol/L,P0.01),提示高血糖癥與老年AHF患者30 d死亡率密切相關。結論在老年AHF患者中,高血糖水平是30 d死亡率高危預測因素,獨立于糖尿病及其他臨床特征。因為血糖容易控制,可以作為治療干預有效的指標。
[Abstract]:Objective to investigate the effect of hyperglycemia on short-term prognosis in elderly patients with acute heart failure.Methods 621 elderly patients with AHF were retrospectively analyzed. The mean blood glucose level was 7.6 mmol / L at admission, among which 41.1% had a history of diabetes.All patients were followed up for 30 days to observe the clinical features, treatment process, hemodynamics, biochemical parameters and mortality.Results after 30 days, 62 patients died. Compared with the survivors, the average blood glucose level was 9.2 mmol/L vs 7.3 mmol / L P 0.01, suggesting that hyperglycemia was closely related to the 30-day mortality in the elderly patients with AHF.Conclusion in elderly patients with AHF, hyperglycemia is a high risk factor for 30 days mortality, independent of diabetes mellitus and other clinical features.Because blood sugar is easily controlled, it can be used as an effective indicator of therapeutic intervention.
【作者單位】： 河北大學附屬醫(yī)院心血管內科;
【分類號】：R541.6

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