摘要
目的探讨高敏感性肌钙蛋白T检测在急性非ST段抬高型心肌梗死早期诊断中的意义。方法选择发病在6 h内的高度怀疑为非ST段抬高型急性冠脉综合征诊断的80例患者为研究对象,入院时即采集血液检测高敏感性肌钙蛋白T,并与常规肌酸激酶同工酶、肌钙蛋白I结果进行比较,分析其对急性非ST段抬高型心肌梗死诊断意义。结果高敏肌钙蛋白T灵敏度、特异度、阴性预测值显著高于肌钙蛋白I和肌酸激酶同工酶(P<0.01或P<0.05)。结论与肌钙蛋白I和肌酸激酶同工酶比较,高敏肌钙蛋白T灵敏度能提高急性非ST段抬高型心肌梗死的诊断率。
Objective To discuss the clinical significance of hs-cTNT for diagnosis of acute NSTEMI. Methods Selected 80 cases with acute NSTE-ACS since onset in 6 h were studied, hs-cTNT, cTNI and CK-MB were detected on ad- mission. Sensitivity ,specificity ,positive predictive value and negative predictive value were compared. Results Sensitivity,specificity and negative predictive value of hs-cTNT apparently higher than cTNI and CK-MB （P 〈 0.01 or P 〈 0.05）. Conclusion hs-cTNT detection can improve diagnostic rate of NSTEMI.
出处
《中国现代医生》
2014年第3期11-12,16,共3页
China Modern Doctor
