中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
16期
24-25
,共2页
N端B型钠尿肽前体%呼吸困难%鉴别诊断
N耑B型鈉尿肽前體%呼吸睏難%鑒彆診斷
N단B형납뇨태전체%호흡곤난%감별진단
NT - proBNP%Dyspnea%Differential diagnosis
目的 研究血浆N端B型钠尿肽前体( NT - proBNP)水平对老年患者急性呼吸困难鉴别诊断意义.方法 对焦作市人民医院门诊或住院治疗的老年急性呼吸困难患者,检测血浆NT - proBNP含量,并进行超声心动图检查,比较心源性和肺源性呼吸困难患者血浆NT - proBNP水平的差异.结果 心源性呼吸困难组和肺源性呼吸困难组血浆NT - proBNP分别为(473±189)pg/ml和(88±32) pg/ml(P＜0.01);心源性呼吸困难组血浆NT-proBNP与左室射血分数呈负相关(r=-0.82,P＜0.01).结论 血浆NT - proBNP对老年急性心源性呼吸困难和肺源性呼吸困难的鉴别诊断有重要意义.
目的 研究血漿N耑B型鈉尿肽前體( NT - proBNP)水平對老年患者急性呼吸睏難鑒彆診斷意義.方法 對焦作市人民醫院門診或住院治療的老年急性呼吸睏難患者,檢測血漿NT - proBNP含量,併進行超聲心動圖檢查,比較心源性和肺源性呼吸睏難患者血漿NT - proBNP水平的差異.結果 心源性呼吸睏難組和肺源性呼吸睏難組血漿NT - proBNP分彆為(473±189)pg/ml和(88±32) pg/ml(P＜0.01);心源性呼吸睏難組血漿NT-proBNP與左室射血分數呈負相關(r=-0.82,P＜0.01).結論 血漿NT - proBNP對老年急性心源性呼吸睏難和肺源性呼吸睏難的鑒彆診斷有重要意義.
목적 연구혈장N단B형납뇨태전체( NT - proBNP)수평대노년환자급성호흡곤난감별진단의의.방법 대초작시인민의원문진혹주원치료적노년급성호흡곤난환자,검측혈장NT - proBNP함량,병진행초성심동도검사,비교심원성화폐원성호흡곤난환자혈장NT - proBNP수평적차이.결과 심원성호흡곤난조화폐원성호흡곤난조혈장NT - proBNP분별위(473±189)pg/ml화(88±32) pg/ml(P＜0.01);심원성호흡곤난조혈장NT-proBNP여좌실사혈분수정부상관(r=-0.82,P＜0.01).결론 혈장NT - proBNP대노년급성심원성호흡곤난화폐원성호흡곤난적감별진단유중요의의.
Objective To study the diagnostic value of plasma NT - proBNP levels on elderly patients with acute dyspnea.Methods Plasma NT - proBNP levels and echocardiography were measured in 128 elderly patients with acute dyspnea,and plasma NT - proBNP levels and left ventricular ejection fraction (LVEF)were compared between 64 cardiac dyspnea patients and 64 pulmonary dyspnea patients.Results The NT - proBNP levels of cardiac dyspnea group and pulmonary dyspnea group were (473 ± 189)pg/ml and (88 ± 32)pg/ml,respectively.There was negative correlation between NT-proBNP levels and LVEF in cardiac dyspnea group ( r =-0.82,P ＜0.01 ).Conclusions The plasma BNP level has important significance in differential diagnosis of elderly patients with acute dyspnea.
