The AMI patients suffered hyperinsulinemia and insulin resistance which were more significant in acute period.Thrombolytic therapy can decrease Ins and ISI.

• 结论：AMI存在高胰岛素血症及胰岛素抵抗，以急性期最明显，早期溶栓治疗能促进空腹胰岛素及胰岛素敏感性指数的下降。