空腹血糖升高与女性非糖尿病患者合并急性心肌梗死住院死亡率的相关性研究-内科学专业毕业论文.docxVIP

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空腹血糖升高与女性非糖尿病患者合并急性心肌梗死住院死亡率的相关性研究-内科学专业毕业论文.docx

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万方数据万方数据目录中文摘要····························································································· （01）英文摘要····························································································· （03）论文题目····························································································· （06）前言··································································································· （06）材料与方法·························································································· （06）结果··································································································· （07）讨论··································································································· （13）结论··································································································· （15）参考文献····························································································· （16）文献综述····························································································· （20）参考文献····························································································· （28）缩略语表····························································································· （32）攻读学位期间发表文章情况····································································· （33）个人简历····························································································· （34）内蒙古医科大学硕士研究生学位论文（2015） 1 中文摘要目的：探讨女性急性心肌梗死患者临床预后同空腹血糖之间的关系。方法：回顾性分析于鄂尔多斯市中心医院，包头市中心医院，包钢医院，达拉特旗人民医院及承德医学院第一附属医院住院治疗的女性急性心肌梗死患者701例，均为首次诊断急性心肌梗死或首次在本研究中登记。急性心肌梗死的诊断标准如下：①STEMI诊断标准：依据2007年欧洲心脏病学会/美国心脏病学会基金会/美国心脏协会/世界心脏基金会（ESC/ACCF/ AHA/WHF）工作组制定的标准：心肌坏死标志物，首选肌钙蛋白（或肌酸磷酸激酶同工酶CK-MB）升高超过第99百分位参考值上限。合并以下至少一项：心肌缺血症状持续时间 ≥ 20分钟；心电图：在R波为主且相邻2个（或以上）导联新出现的ST段抬高，以J点代表ST段，抬高标准男性V2、V3导联 ≥ 0.2 mV，女性 ≥ 0.15 mV，其他导联 ≥ 0.1 mV。②NSTEMI诊断标准：心肌坏死标志物，首选肌钙蛋白（或肌酸磷酸激酶同工酶CK-MB）升高超过第99百分位参考值上限。同时合并以下至少一项：心电图ST段压低和（或）明显的T波倒置，但无明显ST段抬高；心肌缺血症状。若发病4-6小时内检测肌