目的：探讨急性心肌梗死患者经急诊PCI治疗后心电图ST段下降幅度与糖化血红蛋白的相关性。方法：收治急性心肌梗死患者69例，经急诊PCI治疗成功，比较患者入院时及术后1 h的ECG，根据抬高的ST段下降的幅度将患者分为A、B两组：A组为ST段下降≥50，B组为ST段下降＜50；测定所有患者的糖化血红蛋白值，观察并比较ST 段下降幅度与糖化血红蛋白的相关性。结果：经急诊 PCI 治疗后，A 组心电图抬高的 ST 段下降幅度明显高于 B组，糖化血红蛋白明显低于B组(P＜0.05)；A组糖尿病患者明显少于B组(P＜0.05)。结论：急性心肌梗死患者经急诊PCI治疗后心电图ST段下降幅度与糖化血红蛋白值密切相关，可将糖化血红蛋白值作为急性心肌梗死早期干预治疗的有效指标。%Objective:To explore the correlation of the ECG ST segment decreased range and glycosylated hemoglobin of patients with acute myocardial infarction after emergency PCI treatment.Methods:69 patients with acute myocardial infarction were selected.They had successful treatment after emergency PCI.The ECG of patients on admission and postoperative 1 hour were compared.The patients were divided into A,B two groups according to the decreased range of the elevated ST segment.The ST segment decreased range was more than or equal to 50 as A group,the ST segment decreased range was less than 50 as B group. The glycosylated hemoglobin values of all patients were measured.The correlation of the ST segment decreased range and glycosylated hemoglobin was observed and compared.Results:After emergency PCI treatment,the ECG elevated ST segment decreased range of A group was significantly higher than that of B group,the glycosylated hemoglobin was lower than that of B group(P<0.05).The diabetic patients of A group was significantly less than that of B group(P<0.05).Conclusion:The ECG ST segment decreased range and glycosylated hemoglobin of patients with acute myocardial infarction after emergency PCI treatment are closely related.The glycosylated hemoglobin can be as a effective indicator of early intervention treatment of acute myocardial infarction.
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