急性呼吸困难患者检测NT-proBNP的护理体会

Nursing Experience of Patients with Acute Dyspnea by NT-proBNP Detection

目的:通过床边即时检测氨基末端脑钠肽前体(NT-proBNP)水平,鉴别心源性和非心源性疾病导致的急性呼吸困难,从而指导临床落实有效的护理措施。方法:采用荧光标记法进行全血NT-proBNP检测,根据测定值鉴别诊断心源性呼吸困难和肺源性呼吸困难,指导护理人员采取正确护理干预。结果:心源性呼吸困难患者NT-proBNP值显著高于肺源性呼吸困难患者,其差异具有统计学意义(P<0.01)。结论:床边即时NT-proBNP检测提高了医护对心源性呼吸困难的识别能力,患者得到了及时诊断治疗和有效的临床护理,提高了救治水平和患者的满意度。

Objective：Differentiating from acute dyspnea caused by cardiogenic and non-cardiogenic diseases is by this means of the instant bedside testing for NT-proBNP , so as to guide the clinical implementation of effective nursing measures. Methods：We conducted a retrospective study to identify from cardiac respiratory dyspnea and pul-monary difficulties, based on the measured values of Blood NT-proBNP detected by fluorescein labeling method, to guide nursing staff to take proper nursing intervention. Results：Blood NT-proBNP in patients with Cardiac dyspnea was distinctly higher than that in non-cardiac dyspnea with a significant difference （P＆lt;0.01）.Conclusion：Instant bed-side testing for NT-proBNP improves the medical recognition to cardiac dyspnea, patients receive timely diagnosis, treatment and effective nursing, thus to improve treatment and patients＆#39; satisfaction.