医学信息2024，Vol.37Issue(1)：150-153,162,5.DOI:10.3969/j.issn.1006-1959.2024.01.026
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
Predictive Value of Stress Hyperglycemia Ratio on Acute Kidney Injury for Non-diabetic Patients with Acute Myocardial Infarction
门丽影 1栾晓倩 1严治涛1
作者信息
- 1. 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
- 折叠
摘要
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.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Key words
Admission blood glucose/Stress hyperglycemia ratio/Acute myocardial infarction/Acute kidney injury分类
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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(1):150-153,162,5.
