摘要
目的检测急性冠脉综合征(ACS)患者入院后首次空腹血糖(FBG)水平,探讨入院后首次FBG水平对ACS患者近期预后的影响。方法 2010-10/2011-04,四川省绵阳市人民医院心内科收治的不伴糖尿病的ACS患者130例。根据入院后首次FBG水平分为A组(≤6.0 mmol/L)、B组(6.1～6.9 mmol/L)、C组(≥7.0 mmol/L),随访并观察3组患者60 d心脏不良事件的发生率,并使用MedCalc软件行ROC分析,探讨FBG对ACS患者近期预后的预测价值。结果随访60 d,3组共发生心脏不良事件11例。A、B、C组的不良事件发生率分别为1.96%、4.26%、25%,3组间两两比较,差异均有统计学意义(P<0.05)。ROC分析显示,FBG作为ACS患者60 d心脏不良事件的预测指标,其准确率可达到81%,95%CI为0.74～0.88。结论随着入院首次FPG水平的升高,ACS患者60 d心脏不良事件的发生率增加。入院后首次FBG可预测ACS患者的近期预后。
Objective To explore the predictive value of FBG as a fast, easy predictor of adverse cardiac e- vents in patients with ACS within 60 days. Methods 130 patients without diabetes mellitus were admitted to our hospital with a diagnosis of ACS from October 2010 to April 2011. According to the first fasting blood glucose （ FBG ）, the patients （6. 1 -6.9mmol/L） , C group lowed up for 60 days to observe were divided into three groups： A group （≤ 6. 0mmol/L）, B group （≥7.0mmol/L）. The patients were treated by regular treatments and fol- incidence of adverse cardiac events. Receiver operator characteristic （ROC） analysis （using MedCalc software） was used to explore the predictive value of FBG. Results Follow-up 60 days in and out of hospital, adverse cardiac events occurred in 1,2, 8 cases in A, B, C group respectively. Theincidence of adverse events in B, C group was higher than that in A group （P 〈 0. 05 ）. ROC analysis showed that, as a predictor of 60 -day adverse cardiac events, the accuracy rate of FBG could reach 81% with 95% CI of 0. 74 -0. gg in patients with ACS. Conclusion FBG could predict incidence of adverse car- diac events of ACS patients within 60 days.
出处
《职业卫生与病伤》
2012年第4期237-240,共4页
Occupational Health and Damage
关键词
急性冠脉综合征
入院后首次空腹血糖
预后
acute coronary syndrome
the first fasting blood glucose
prognosis
