中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
11期
47-48
,共2页
B型钠尿肽%心力衰竭类型鉴别%诊断价值%指标
B型鈉尿肽%心力衰竭類型鑒彆%診斷價值%指標
B형납뇨태%심력쇠갈류형감별%진단개치%지표
B type natriuretic peptide%Heart failure type identification%Diagnostic value%Index
目的：对B型钠尿肽在心力衰竭类型鉴别诊断中的价值进行评价。方法：选取2010年2月-2013年2月笔者所在医院收治的200例呼吸困难患者，对其进行B型钠尿肽测定，比较并分析B型钠尿肽与心力衰竭类型鉴别诊断的关系。结果：200例呼吸困难患者中，心力衰竭患者120例，非心力衰竭患者80例。B型钠尿肽诊断的特异性为81.3%，其敏感性为90.0%；阳性和阴性的预测值分别为87.8%和84.4%。随着心力衰竭程度的增加，B型钠尿肽在患者体内的含量水平也逐渐升高，其中以Ⅰ级心力衰竭水平最低，Ⅳ级心力衰竭水平最高。结论：B型钠尿肽有助于鉴别心力衰竭的类型，是诊断心力衰竭类型中最重要的诊断指标，为临床上诊断心力衰竭类型提高了医学参考依据。
目的：對B型鈉尿肽在心力衰竭類型鑒彆診斷中的價值進行評價。方法：選取2010年2月-2013年2月筆者所在醫院收治的200例呼吸睏難患者，對其進行B型鈉尿肽測定，比較併分析B型鈉尿肽與心力衰竭類型鑒彆診斷的關繫。結果：200例呼吸睏難患者中，心力衰竭患者120例，非心力衰竭患者80例。B型鈉尿肽診斷的特異性為81.3%，其敏感性為90.0%；暘性和陰性的預測值分彆為87.8%和84.4%。隨著心力衰竭程度的增加，B型鈉尿肽在患者體內的含量水平也逐漸升高，其中以Ⅰ級心力衰竭水平最低，Ⅳ級心力衰竭水平最高。結論：B型鈉尿肽有助于鑒彆心力衰竭的類型，是診斷心力衰竭類型中最重要的診斷指標，為臨床上診斷心力衰竭類型提高瞭醫學參攷依據。
목적：대B형납뇨태재심력쇠갈류형감별진단중적개치진행평개。방법：선취2010년2월-2013년2월필자소재의원수치적200례호흡곤난환자，대기진행B형납뇨태측정，비교병분석B형납뇨태여심력쇠갈류형감별진단적관계。결과：200례호흡곤난환자중，심력쇠갈환자120례，비심력쇠갈환자80례。B형납뇨태진단적특이성위81.3%，기민감성위90.0%；양성화음성적예측치분별위87.8%화84.4%。수착심력쇠갈정도적증가，B형납뇨태재환자체내적함량수평야축점승고，기중이Ⅰ급심력쇠갈수평최저，Ⅳ급심력쇠갈수평최고。결론：B형납뇨태유조우감별심력쇠갈적류형，시진단심력쇠갈류형중최중요적진단지표，위림상상진단심력쇠갈류형제고료의학삼고의거。
Objective:To evaluate the value of B type natriuretic peptide in diagnosis of heart failure.Method:200 cases with breathing difficulties who were admitted to the hospital from February 2010 to February 2013 were selected as research object.They were given type B natriuretic peptide.The relationship between type B natriuretic peptide and the diagnosis of heart failure types were compared and analyzed.Result:Of 200 cases of patients with breathing difficulties, 120 patients were diagnosed with heart diseases,80 patients without heart diseases.The specificity of the diagnosis of B type natriuretic peptide was 81.3%,and the sensitivity was 90.0%.Moreover,the predicted values of positiveness and negativeness were respectively 87.8%,84.4%.The increased seriousness of the heart failure led to the elevation of the content of B type natriuretic peptide,among which theⅠlevel heart failure was the lowest and theⅣlevel topped was the highest. Conclusion:B type natriuretic peptide is helpful in the difference diagnosis of heart failure types,also the most important type of heart failure diagnosis index in clinical diagnosis of heart failure,thus it can provide a better medical reference.
