中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
14期
2107-2108,2109
,共3页
呼吸困难%N末端B型脑钠肽前体%老年人
呼吸睏難%N末耑B型腦鈉肽前體%老年人
호흡곤난%N말단B형뇌납태전체%노년인
Dyspnea%N-terminal pro-brain natriuretic peptide%Aged
目的:探讨快速测定N末端B型脑钠肽前体(NT-proBNP)在急诊老年呼吸困难患者中的临床应用价值。方法回顾性分析2012年1月至2013年12月以呼吸困难为主诉急诊入院的146例患者(年龄≥60岁),2012年度患者为常规治疗组;2013年度患者为NT-proBNP测定结果指导下治疗组;按照NT-proBNP临床参考标准和测定结果来评价呼吸困难的性质从而指导抢救,对两组患者抢救成功率进行分析比较。结果2012年度抢救67例(显效15例、有效37例、无效11例、死亡4例),2013年度抢救79例(显效27例、有效44例、无效6例、死亡2例)。2013年度以NT-proBNP水平指导下抢救的呼吸困难老年患者的抢救成功率(89.87%)明显高于2012年度常规治疗组(77.61%)(χ2=4.11,P <0.05)。结论急诊快速测定NT-proBNP水平指导抢救老年呼吸困难患者具有较高的临床应用价值。
目的:探討快速測定N末耑B型腦鈉肽前體(NT-proBNP)在急診老年呼吸睏難患者中的臨床應用價值。方法迴顧性分析2012年1月至2013年12月以呼吸睏難為主訴急診入院的146例患者(年齡≥60歲),2012年度患者為常規治療組;2013年度患者為NT-proBNP測定結果指導下治療組;按照NT-proBNP臨床參攷標準和測定結果來評價呼吸睏難的性質從而指導搶救,對兩組患者搶救成功率進行分析比較。結果2012年度搶救67例(顯效15例、有效37例、無效11例、死亡4例),2013年度搶救79例(顯效27例、有效44例、無效6例、死亡2例)。2013年度以NT-proBNP水平指導下搶救的呼吸睏難老年患者的搶救成功率(89.87%)明顯高于2012年度常規治療組(77.61%)(χ2=4.11,P <0.05)。結論急診快速測定NT-proBNP水平指導搶救老年呼吸睏難患者具有較高的臨床應用價值。
목적:탐토쾌속측정N말단B형뇌납태전체(NT-proBNP)재급진노년호흡곤난환자중적림상응용개치。방법회고성분석2012년1월지2013년12월이호흡곤난위주소급진입원적146례환자(년령≥60세),2012년도환자위상규치료조;2013년도환자위NT-proBNP측정결과지도하치료조;안조NT-proBNP림상삼고표준화측정결과래평개호흡곤난적성질종이지도창구,대량조환자창구성공솔진행분석비교。결과2012년도창구67례(현효15례、유효37례、무효11례、사망4례),2013년도창구79례(현효27례、유효44례、무효6례、사망2례)。2013년도이NT-proBNP수평지도하창구적호흡곤난노년환자적창구성공솔(89.87%)명현고우2012년도상규치료조(77.61%)(χ2=4.11,P <0.05)。결론급진쾌속측정NT-proBNP수평지도창구노년호흡곤난환자구유교고적림상응용개치。
Objective To explore the clinical value of N-terminal pro-brain natriuretic peptide (NT-proBNP) in elderly patients with acute dyspnea .Methods Retrospective analysis of 146 cases of patients with emergency admissions of patients(age ≥60 years)with dyspnea from January 2012 ~December 2013,patients in 2012 with conventional treatment group; patients in 2013 were under the guidance of NT-proBNP treatment group; properties according to the test results of the NT-proBNP clinical reference standard and NT-proBNP to the evaluation of dyspnea and guide rescue,rescue success rate of patients in 2 groups were analyzed and compared .Results 67 cases (15 ca-ses were markedly effective ,37 cases were effective ,11 cases were invalid ,4 cases of death ) were rescued in 2012, 79 cases (27 cases were markedly effective ,44 cases were effective,6 cases were invalid,2 cases of death) were res-cued in 2013.Elderly patients with Dyspnea under the guidance of emergency NT-proBNP levels in 2013(89.87%), the rescue success rate was higher than that in the 2012 traditional treatment group (77.61%) (χ2 =4.11,P <0.05).Conclusion Rapid determination of NT-proBNP level of elderly patients with dyspnea has high clinical value in emergency rescue .