应激性血糖对非糖尿病急性心肌梗死患者冠状动脉内介入术后近期预后的影响(2)
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IRA再通后，应激性血糖升高可影响心肌微循环灌注，削弱再灌注治疗的效应。因此，将AMI患者升高的血糖控制在正常水平，并积极控制血脂水平，将能提高心肌微循环灌注水平，减少急诊PCI治疗后无复流现象的发生，改善患者预后。本研究结果表明，应激性血糖升高预示冠状动脉病变重，左室射血分数下降明显，住院期间心血管事件发生率高,预后差，应给予重视，提示临床上应动态观察血糖变化，并行有关糖尿病检查明确是否已存在糖耐量异常或者糖尿病，以便早期干预，减少以后发生心血管事件的危险。
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