老年急性心力衰竭患者血糖水平与患者短期预后的相关性探讨
Relationship between blood glucose level and short term prognosisin elderly patients with acute heart failure

何博生,梁桢华.老年急性心力衰竭患者血糖水平与患者短期预后的相关性探讨[J].内科急危重症杂志,2017,23(2):

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作者	单位	E-mail
何博生	深圳市宝安区松岗人民医院	wu89645@163.com
梁桢华	深圳市宝安区松岗人民医院

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中文摘要:

【】目的：探索血糖水平与老年急性心力衰竭患者短期预后的相关性。方法选取286例老年急性心力衰竭患者,根据血糖水平分为血糖升高组(A组)和血糖正常组(B组),进行相应治疗,随访30d,观察并记录患者的一般临床资料：性别、年龄、体质量指数、并发症、诱发因素、既往疾病史、心率、血压、临床用药、生化指标等。结果两组患者性别、年龄、体质量指数、慢性阻塞性肺疾病史、心率、舒张压以及镇静剂、利尿剂、ARB、ACEI的使用情况无显著差异,P>0.05；与A相比较,B组的糖尿病史、高血压史、冠状动脉疾病史、心力衰竭史、收缩压、血糖明显升高,扩血管药物使用明显降低,差异有统计学意义,P<0.05；A组的死亡率3.2%显著低于B组的9.4%,差异有统计学意义,P<0.05;患者的血糖与患者短期预后差异有统计学意义,P<0.05;而患者的糖尿病史、高血压史、心力衰竭史、冠状动脉疾病史、收缩压、扩血管药物使用等与急性心力衰竭患者的短期预后无相关关系,P>0.05。结论：老年急性心力衰竭患者的血糖水平可以作为患者短期预后的独立预测因素,临床可根据患者血糖实际情况制定相应的治疗方案,及时对患者采取干预措施。

英文摘要:

【】Objective Relationship between blood glucose level and short term prognosis in elderly patients with acute heart failure. Method Selected 286 cases of elderly patients with acute heart failure.According to the blood glucose level, the blood sugar level was divided into the normal group and the normal group as group A and group B.Carry out corresponding treatment, follow-up 30d.The gender, age, body mass index, complications, predisposing factors and the history of the disease were observed and recorded.Result There were no significant differences in gender, age, body mass index, chronic obstructive pulmonary disease history, heart rate, diastolic blood pressure, sedative, diuretic, ARB, and ACEI in the two groups. P>0.05.The history of diabetes, history of hypertension, coronary heart disease, heart failure, systolic blood pressure and blood glucose in A group were significantly higher than those in B group;the use of the expanded vascular drug was significantly lower than that of the A group. P<0.05.There was a significant difference between the patient"s blood glucose and the short-term prognosis, P<0.05.Conclusion Blood glucose levels in patients with acute heart failure in the year of acute heart failure can be used as an independent predictor of short-term prognosis.Clinical can be based on the actual situation of patients with blood glucose to develop appropriate treatment program.