中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
12期
1257-1258
,共2页
主动脉夹层%B型钠尿肽%预后
主動脈夾層%B型鈉尿肽%預後
주동맥협층%B형납뇨태%예후
Aorta dissection%B-type natriuretic peptide%Prognosis
目的 探讨急性主动脉夹层(AAD)患者血清B型钠尿肽(BNP)水平与病情程度及预后的关系.方法 测定42例AAD患者血清BNP浓度,根据血清BNP增高的程度将42例患者分为A、B2组.A组23例,BNP峰值≥500 ng/L；B组19例,BNP＜ 500 ng/L.分析血清BNP浓度与病情程度及预后的关系.结果 42例AAD患者BNP浓度均增高,A组中发生夹层继续分离及住院期间病死率分别为47.83％( 11/23)、26.09％ (6/23),明显高于B组[15.79％(3/19)、0],差异均有统计学意义(P值分别为0.048、0.024).结论 AAD患者血清中的BNP浓度与病情程度及预后有关.
目的 探討急性主動脈夾層(AAD)患者血清B型鈉尿肽(BNP)水平與病情程度及預後的關繫.方法 測定42例AAD患者血清BNP濃度,根據血清BNP增高的程度將42例患者分為A、B2組.A組23例,BNP峰值≥500 ng/L；B組19例,BNP＜ 500 ng/L.分析血清BNP濃度與病情程度及預後的關繫.結果 42例AAD患者BNP濃度均增高,A組中髮生夾層繼續分離及住院期間病死率分彆為47.83％( 11/23)、26.09％ (6/23),明顯高于B組[15.79％(3/19)、0],差異均有統計學意義(P值分彆為0.048、0.024).結論 AAD患者血清中的BNP濃度與病情程度及預後有關.
목적 탐토급성주동맥협층(AAD)환자혈청B형납뇨태(BNP)수평여병정정도급예후적관계.방법 측정42례AAD환자혈청BNP농도,근거혈청BNP증고적정도장42례환자분위A、B2조.A조23례,BNP봉치≥500 ng/L；B조19례,BNP＜ 500 ng/L.분석혈청BNP농도여병정정도급예후적관계.결과 42례AAD환자BNP농도균증고,A조중발생협층계속분리급주원기간병사솔분별위47.83％( 11/23)、26.09％ (6/23),명현고우B조[15.79％(3/19)、0],차이균유통계학의의(P치분별위0.048、0.024).결론 AAD환자혈청중적BNP농도여병정정도급예후유관.
Objective To investigate the relationship among the levels of B-type natriuretic peptide (BNP) and the extent,prognosis of acute aortic dissection (AAD).Methods The serum levels of BNP were measured in 42 AAD cases.According to the increasing level of BNP,the patients were divided into two groups:group A ( BNP≥ 500 ng/L,n =23 ) and group B ( BNP ＜ 500 ng/L,n =19 ).The extent of the disease and cardiovascular events were compared between the two groups.Results All the patients have elevated levels of BNP.The incidence of lasting aortic dissection (47.83％ vs.15.79％,P =0.048 ) and mortality ( 26.09％ vs.0,P =0.024) were higher in group A compared with those of group B.Conclusion The lasting and higher levels of BNP predict the increasing risk of bad prognosis in acute aortic dissection.
