期刊文献+

检测NT-ProBNP对诊断冠心病临床价值的初步探讨 被引量:8

Clinical value of determination of NT-ProBNP for patients with coronary heart disease
下载PDF
导出
摘要 目的检测冠心病(CHD)患者血清中氨基末端脑钠素前体(NT-ProBNP)的含量,并与心肌肌钙蛋白Ⅰ(cTnI)、超声心动图心功能指标相比较,探讨NT-ProBNP对CHD心脏损伤诊断的临床价值。方法应用电化学发光法和微粒子发光酶免疫分析法,对56例CHD患者和30例健康体检者血清中NT-ProBNP与cTnI含量进行测定,并同时行超声心动图检查心功能。结果 CHD患者NT-ProBNP和cTnI水平均显著高于对照组,差异有统计学意义(P<0.05);心功能指标EDV、ESV和EF也与对照组差异有统计学意义(P<0.01);血清NT-ProBNP与EDV、ESV及EF之间呈良好的相关性(P<0.01)。CHD合并2型糖尿病及CHD合并高血压组NT-ProBNP检测结果明显高于对照组(P<0.01)。结论检测CHD患者血清NT-ProBNP含量对诊断CHD及CHD合并症心功能损害有重要的临床价值。 To determine NT- ProBNP contents in patients with coronary heart disease (CHD) and to evaluate the diagnostic value for CHD patients. Methods There 56 cases with CHD patients and 30 healthy were included in the study. The ECLIA and Microparticle enzyme immunoassay light method was used to measured NT ProBNP and cTnI, and ultrasonic cardiac function examination was performed at the same time. Results The contents of NT ProBNP and cTnI in CHD patients were higher than those in the control group (P 〈0.01 ). There was significant difference in cardiac function EDV, ESV and EF between two groups. Serum NT - ProBNP and EDV, ESV and EF showed a good correlation (P 〈0.01 ). The contents of NT ProBNP in CHD patients complicated with type Ⅱ diabetes and CHD patients complicated with hypertension were higher than those in the control group (P 〈 0. 01 ). Conclusion Detection of NT ProBNP in CHD patients plays an important role in diagnosis of cardiac function for CHD patients.
出处 《宁夏医学杂志》 CAS 2012年第3期208-210,共3页 Ningxia Medical Journal
关键词 冠心病 氨基末端脑钠素前体 心肌肌钙蛋白Ⅰ 心功能 CHD NT ProBNP cTnl Cardiac function
  • 相关文献

参考文献3

二级参考文献30

  • 1高伟,王士雯,赵玉生.脑钠肽前体N末端片段在心血管病研究应用中的现状[J].中华心血管病杂志,2004,32(8):759-761. 被引量:65
  • 2徐焰,彭道荣,陈灿磊,张小宁,余妍,孙怡群,郝晓柯.血浆脑钠肽水平对冠心病诊断价值的初步探讨[J].现代检验医学杂志,2006,21(3):58-60. 被引量:5
  • 3Cynthia M,Yuling Fu,Lauer MS,et al. Short and long term risk stratification in acute coronary syndrome [ J ]. Am J Cardiol, 2006,48:939- 947.
  • 4Boekholdt SM, Hack CE, Sandhu MS, et al. C-reactive protein levels and coronary artery disease incidence and mortality in apparently healthy men and women; The EPIC-Norfolk prospective population study 1993 -2003 [ J ]. Atherosclerosis ,2006 ,187 :415 -422.
  • 5Gensini GG. A more meaningful scoring system for determining the severity of corornary heart disease[ J]. Am J Cardiol,1983,51 :606.
  • 6Palazzuoli A, Decker J, Calabro A. Brain natriuretic peptide and other risk markers for out come assessment in patients with non ST elevation coronary syndromes and preserved systolic function [ J ]. Am J Cardiol, 2006,98 : 1322-1328.
  • 7Virmani R, Burke AP, Farb A, et al. Pathology of the vulnerable plaque [J]. Am J Cardiol,2006,47(8 Suppl) :C13-C18.
  • 8Yeh ET, Anderson HV, Pasceri V, et al. C-reactive protein:linking inflammation to cardiovascular complications [ J ]. Circulation, 2001, 104:974-975.
  • 9Burke AP, Tracy RP, Kolodgie F, et al. Elevated C-reactive protein values and atheroosclerosis in sudden coronary death: association with different pathologies [ J]. Circulation,2002,105:2019-2023.
  • 10Pasceri V, Willerson JT, Yeh ET. Direct proinflammatory effect of C- reactive protein on human endothelial cells [ J ]. Circulation, 2000, 102:2165-2168.

共引文献16

同被引文献46

  • 1曹雅旻,胡大一,闫丽.急性冠状动脉综合征严重程度与血浆氨基酸N末端脑钠肽原浓度相关性的研究[J].中华心血管病杂志,2005,33(10):899-902. 被引量:60
  • 2ACC/AHA Task Force. Guideline for the evaluation and mament of heart failure [ J ]. Circulation" 1995 ( 92 ) : 2764-2784.
  • 3Galema TW, Yap SC, Geleijnes ML, et al. Early detection of left ventricular dysfunction by Doppler tissue imaging and N - terminal pro - B - type natriuretic peptide in patients with symptomatic se- rene aortic stenosis[ J]. JAM Soc Echocardiogr,2007 (10) :34.
  • 4Ioannidis JP,Tzoulaki I.Minimal and null predictive effects for the most popular blood biomarkers of cardiovascular disease[J].Circ Res,2012,110(5):658-662.
  • 5Westerhout CM,Fu Y,Lauer MS,et al.Short-and-long term risk stratification in acute coronary syndromes:the added value of quantitative ST-segment depression and multiple biomarkers[J].JAm Coll Cardiol,2006,48(5):939-947.
  • 6张华龙,程敏菊,魏庆民,等.左西孟旦在国内临床研究[C].第七届华北长城心脏病学会议、河北省心血管病学2014年会暨第三届经前臂(桡/尺)动脉微创化冠脉介人治疗国际论坛论文集,2014:256-258.
  • 7李国强,朱一芳,韩宁林,等.苓桂术甘汤对慢性心力衰竭患者心功能的影响[J].临床心身疾病杂志,2015,21(z1):27-28.
  • 8吴叶辉.心力衰竭患者的护理体会[J].临床心身疾病杂志,2014,20(z1):188.
  • 9王磊,徐华.左西孟旦对老年充血性心力衰竭患者心功能及临床效果影响分析[J].医药前沿,2015,5(31):185-186.
  • 10苏华,周胜华,潘宏伟,杜优优,刘彬,刘厂辉.脑钠肽对不稳定型心绞痛和(或)非ST段抬高心肌梗死患者冠状动脉病变程度的预测[J].临床心血管病杂志,2008,24(2):117-119. 被引量:26

引证文献8

二级引证文献34

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部