组织多普勒联合心肌酶在急性冠脉综合征患者中的诊断价值研究

Tissue Doppler Joint Myocardial Enzymes In Patients With Acute Coronary Syndrome Diagnostic Value In The Study

目的:观察组织多普勒联合心肌酶在急性冠脉综合征患者的诊断效果及价值。方法:选取2015年1月-2016年7月医院收治急性冠脉综合征患者300例,设为观察组。选取同期入院健康体检者300例,设为对照组。采用化学发光法检测2组MYO、cTnl、CK-MB水平,采用化学发光法检测hs-CRP水平;利用组织多普勒超声测定2组舒张晚期峰值速度、心肌舒张早期峰值速度等指标。结果:观察组患者MYO、cTnl、CK-MB、hs-CRP水平,显著高于对照组(P<0.05);观察组Va峰速、Ve/Va比值水平,显著低于对照组(P<0.05);观察组Ve峰速,显著低于对照组(P<0.05)。结论:急性冠脉综合征患者采用组织多普勒联合心肌酶诊断效果理想,能提高诊断准确率,值得推广应用。

objective：to observe the tissue doppler joint myocardial enzymes in patients with acute coronary syndrome diagnosis effect and value.Methods：selected in January 2015-July 2015 hospital treated 300 cases of patients with acute coronary syndrome（acs）,set as observation group.Selected in the same periodin hospital,300 cases of healthy check-up,set as control group.Using chemiluminescence detection of two groups MYO,c Tnl and CK-MB level,chemiluminescence method is used to detect the hs-CRP levels;2 groups determined by tissue doppler ultrasound late diastolic peak velocity,early myocardial diastolic peak velocity,etc.Results：the observation group of patients MYO,c Tnl and CK-MB,hs-CRP levels,is significantly higher than control group（P〈0.05）; Observation group,Ve/Va Va peak speed ratio level,significantly lower than control group（P〈0.05）; Ve peak speed observation group,significantly lower than control group（P〈0.05）.Conclusion：patients with acute coronary syndrome by tissue doppler joint diagnosis of myocardial enzyme effect is ideal,can improve the diagnostic accuracy rate,is worthy of popularization and application.