急性冠脉综合征患者入院空腹血糖对心血管不良预后的影响

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1、英文摘要TheEffectofFirstFastingGlucoseonPrognosisofAcuteCoronarySyndromePatientsABSTRACTObjective：Type2diabetesis觚independentriskf．actcIrforcoronaryheartdisease，whichhasbeensupportedbyabundantepidemiologicalandclinicalresearchevidence．Therelationshipbetweenabnormalglucose

2、metabolismandcardiovasculardisease，especiallythatbetweenACSandthefirstdiscoveredabnormalglucosemetabolism，inrecentyears，hasalwaysbeenasubjectofmuchconcerninthefieldofcardiovascular．Recentstudiesfoundthatadmissionbloodglucose(ABG)andthefirstfastingbloodglucose(FBG)coul

3、dpredictpoorprognosisofthepatientswithACS．However,thepatientswithACSwereadmittedtohospitalindifferenttimes，andABGWasinfluencedbymanyfactors．AndthevalueofFBGontheprognosisofpatientswithACSWaslessreported．SothepurposeofthisstudyWastoensurewhetherFBGcouldbeconsideredasaf

4、ast，easyandeconomicalpredictorofcardiaceventsinpatientswithACSbycomparingFBGwithABGanddiscussingthepredictivevalueofFBGoncardiaceventswithin30days．Methods：Thestudyinvolved129patientswithoutdiabetesmellituswhowereadmittedtotheSecondHospitalofHebeiMedicalUniversitywitha

5、diagnosisofACSfromOctober2008toNovember2009．Theyalsohadischemicchestpainbeforeadmissionin24hourswithouteatingfromlastmealforatleast3hoursandneverhadcardiopulmonaryresuscitationoutofhospitalandmalignanttumors．Accordingtothefirstfastingbloodglucose(FBG)andadmissionblood

6、glucose(ABG)，thepatientswererespectivelydividedintotwogroups：normalglucosegroup(<7．0mmoFL)andelevatedglucosegroup(>7．0mmol／L)．Accordingto‘"theAcuteMyocardialInfarctionDiagnosisandTreaUnentGuidelines”(2001，ChiI神and‘'theUnstableAnginaandNon-ST-segmentElevationMyocardial

7、InfarctionDiagnosisandTreatmentGuidelines"(2007，China)，thepatients懈treatedbyregular4英文摘要treatmentsandobservedfor30days．TherelationshipsbetweenFBGandABGandotherriskfactorssuchascoronaryarterylesion，bloodpressure，bloodlipids，etc．werealsoobserved．Samplescollectionandmeas

8、urememmethods：1．FBG：Thenextmorningafteradmission，wetookfingertip(theringfinger)bloodtomeasurethefirstfastingbloodglucose(fas