心肌酶谱检测在急诊诊断中的价值

Value of myocardial enzyme spectrum examination in emergency diagnosis

目的:探讨分析心肌酶谱检测在急诊诊断中的有效性。方法:将随机选取的本院2011年4月至2016年7月收治的125例脑外伤患者作为脑伤组,将125例急性心肌梗死患者作为心梗组,将50例健康人员作为对照组,对3组人员的资料进行回顾性分析,比较心肌酶谱变化情况。结果:与对照组相比,脑伤组与心梗组的心肌酶谱检测明显升高,组间数据对比有显著性差异(P<0.05);脑外伤患者心肌酶谱检测的敏感度为100%。急性心肌梗死患者心肌酶谱检测的敏感度为98.4%,敏感度较高。且脑外伤程度为轻度患者的磷酸肌酸激酶检测值为(964.11±64.79)U/L,程度为中度患者的磷酸肌酸激酶检测值为(1857.59±103.95)U/L,程度为重度患者的磷酸肌酸激酶检测值为(3477.56±246.89)U/L。结论:心肌酶谱检测在脑外伤患者及急性心肌梗死急诊临床诊断中的敏感性较高。

Objective： To investigate the effectiveness of myocardial enzyme spectrum examination in emergency diagnosis. Methods： From April 2011 to July 2016,125 patients with traumatic brain injury were selected as brain injury group,125 patients with acute myocardial infarction were selected as myocardial infarction group,and 50 healthy people were selected as control group. The data of the three groups was retrospectively analyzed and the changes of myocardial enzyme spectrum were compared. Results： Compared with the control group,the brain injury group and myocardial infarction group showed significantly increased myocardial enzyme spectrum（ P〈0. 05）; the sensitivity of myocardial enzyme spectrum detection was 100% and 98. 4% respectively in patients with traumatic brain injury and in patients with acute myocardial infarction. CPK was（ 964. 11 ＋ 64. 79） U/L,（ 1857. 59 ＋ 103. 95） U/L and（ 3477. 56 ＋ 246. 89） U/L respectively in patients with mild,moderate and severe degree of brain injury. Conclusion： The sensitivity of myocardial enzyme spectrum examination is high in clinical emergency diagnosis of acute myocardial infarction and traumatic brain injury.