高血糖症对老年急性心力衰竭患者短期预后的影响

发布时间：2018-04-09 16:31

本文选题：高血糖症　切入点：急性心力衰竭　出处：《中国老年学杂志》2017年23期

【摘要】：目的探讨高血糖症对老年急性心力衰竭(AHF)患者短期预后的影响。方法对621例老年AHF患者进行回顾性分析,入院时血糖平均水平为7.6 mmol/L,其中41.1%患者有糖尿病病史。随访30 d,观察患者临床特征、治疗过程、血流动力学状态、生化指标及死亡率等情况。结果观察30 d,有62例(10%)死亡,与存活者相比,死亡者有较高的平均血糖水平(9.2 mmol/L vs 7.3 mmol/L,P0.01),提示高血糖症与老年AHF患者30 d死亡率密切相关。结论在老年AHF患者中,高血糖水平是30 d死亡率高危预测因素,独立于糖尿病及其他临床特征。因为血糖容易控制,可以作为治疗干预有效的指标。
[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.
【作者单位】：河北大学附属医院心血管内科;
【分类号】：R541.6

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