血清心肌酶谱及肌钙蛋白T测定在急性心肌梗死诊断中的意义

Significance of Serum Myocardial Enzymes and Cardiac Troponin T Determination in Diagnosis of Acute Myocardial Infarction

目的:通过测定血清心肌酶谱及肌钙蛋白T(cardiac troponin T,cTnT),探讨其对急性心肌梗死(acute myocardialinfarction,AMI)的诊断价值。方法:选取AMI患者45人作为病例组,健康体检者50人作为对照组,采集其静脉血进行分离、检测,数据经统计学分析后进行比较。结果:在AMI早期,心肌酶谱和cTnT的含量明显高于对照组,且cTnT升高的幅度较心肌酶谱显著,病例组cTnT检测阳性率较高。结论:联合检测血清中的心肌酶谱与cTnT,具有协同互补的作用,对AMI的早期诊断及疗效观察有较高价值。

Objective：To investigate the diagnostic value and clinical significance of serum myocardial enzymes and cardiac troponin T（cTnT） in the acute myocardial infarction（AMI）.Methods：There were totally 45 patients with AMI as the case group and 50 healthy subjects as control group.After the blood samples were collected and seperated,serum myocardial enzymes and cTnT were determined and then these data were compared by statistical analysis.Results：In the early AMI,myocardial enzymes and cTnT were significantly higher than the control group,and the elevated extent of cTnT were significantly higher than the myocardial enzymes,and the positive rates of cTnT in case group were also higher.Conclusion：Combined detection of serum myocardial enzymes and cTnT can achieve a synergistic complementary role and a higher value in the early diagnosis and the curative effect observation of AMI.