[1]门丽影,栾晓倩,严治涛.应激性高血糖比值对急性心肌梗死非糖尿病患者急性肾损伤的预测价值[J].医学信息,2024,37(01):150-153,162.[doi:10.3969/j.issn.1006-1959.2024.01.026]
　MEN Li-ying,LUAN Xiao-qian,YAN Zhi-tao.Predictive Value of Stress Hyperglycemia Ratio on Acute Kidney Injury for Non-diabetic Patients with Acute Myocardial Infarction[J].Journal of Medical Information,2024,37(01):150-153,162.[doi:10.3969/j.issn.1006-1959.2024.01.026]
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应激性高血糖比值对急性心肌梗死非糖尿病患者急性肾损伤的预测价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年01期
页码:
150-153,162
栏目:
论著
出版日期:
2024-01-01

文章信息/Info

Title:
Predictive Value of Stress Hyperglycemia Ratio on Acute Kidney Injury for Non-diabetic Patients with Acute Myocardial Infarction
文章编号:
1006-1959（2024）01-0150-05
作者:
门丽影; 栾晓倩; 严治涛
（石河子大学医学院第一附属医院心血管内科，新疆 石河子 832000）
Author(s):
MEN Li-ying; LUAN Xiao-qian; YAN Zhi-tao
(Department of Cardiology,the First Affiliated Hospital of Shihezi University School of Medicine,Shihezi 832000,Xinjiang,China)
关键词:
入院血糖; 应激性高血糖比值; 急性心肌梗死; 急性肾损伤
Keywords:
Admission blood glucose; Stress hyperglycemia ratio; Acute myocardial infarction; Acute kidney injury
分类号:
R542.2+2
DOI:
10.3969/j.issn.1006-1959.2024.01.026
文献标志码:
A
摘要:
目的 探讨应激性高血糖比值对急性心肌梗死非糖尿病患者发生急性肾损伤中的预测价值。方法 收集2021年1月-12月在石河子大学医学院第一附属医院诊断为急性心肌梗死的147例非糖尿病患者的临床资料，按有无急性肾损伤（AKI）的发生分为AKI组（20例）及无AKI组（127例），比较两组患者的临床资料。使用单因素Logistic回归分析AKI发生的相关危险因素，多因素Logistic回归分析进一步分析其独立危险因素。绘制受试者工作特征曲线评价入院血糖和应激性高血糖比值在急性心肌梗死非糖尿病患者发生急性肾损伤中的诊断价值。结果 AKI组入院血糖、SHR、既往PCI的比例高于非AKI组，差异有统计学意义（P＜0.05）。入院血糖和应激性高血糖比值预测急性心肌梗死非糖尿病患者发生AKI的曲线下面积分别为0.801和0.809，差异有统计学意义（P＜0.05），其预测截断值分别为7.3和1.200。使用Medcalc软件进一步比较入院血糖和应激性高血糖比值对急性心肌梗死非糖尿病患者发生AKI的受试者工作曲线，结果示两者预测价值的差异无统计学意义（P=0.857）。结论 入院血糖和应激性高血糖比值对急性心肌梗死非糖尿病患者发生AKI有较好的预测价值，且入院血糖和应激性高血糖比值的预测价值基本相同。
Abstract:
Objective To investigate the predictive value of stress hyperglycemia ratio on acute kidney injury for non-diabetic patients with acute myocardial infarction.Methods The clinical data of 147 non-diabetic patients diagnosed with acute myocardial infarction in the First Affiliated Hospital of Shihezi University School of Medicine from January to December 2021 were collected. According to the presence or absence of acute kidney injury (AKI), they were divided into AKI group (20 patients) and non-AKI group (127 patients). The clinical data of the two groups were compared. Univariate logistic regression analysis was used to analyze the related risk factors of AKI, and multivariate logistic regression analysis was used to further analyze its independent risk factors. The receiver operating characteristic curve was drawn to evaluate the diagnostic value of the ratio of admission blood glucose to stress hyperglycemia in acute renal injury in non-diabetic patients with acute myocardial infarction.Results The proportion of admission blood glucose, SHR and previous PCI in the AKI group was higher than that in the non-AKI group, and the difference was statistically significant (P<0.05). The area under the curve of admission blood glucose and stress hyperglycemia ratio in predicting AKI in non-diabetic patients with acute myocardial infarction was 0.801 and 0.809, respectively, and the difference was statistically significant (P<0.05), and the predicted cut-off values were 7.3 and 1.200, respectively. The Medcalc software was used to further compare the receiver operating curve of the ratio of admission blood glucose and stress hyperglycemia to the occurrence of AKI in non-diabetic patients with acute myocardial infarction, and the results showed that there was no significant difference in the predictive value between the two (P=0.857).Conclusion The admission blood glucose and stress hyperglycemia ratio have a good predictive value for AKI in non-diabetic patients with acute myocardial infarction, and the predictive value of admission blood glucose and stress hyperglycemia ratio is basically the same.

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更新日期/Last Update: 1900-01-01