心血管康复医学杂志
心血管康複醫學雜誌
심혈관강복의학잡지
JOURNAL OF CARDIOVASCULAR REHABILITATION MEDICINE
2014年
2期
137-140
,共4页
李江%梁华文%羊海燕%刘生莲
李江%樑華文%羊海燕%劉生蓮
리강%량화문%양해연%류생련
心力衰竭%糖尿病,2型%利钠肽,脑%预后
心力衰竭%糖尿病,2型%利鈉肽,腦%預後
심력쇠갈%당뇨병,2형%리납태,뇌%예후
Heart failure%Diabete mellitus,type 2%Natriuretic peptide,brain%Prognosis
目的:探讨血浆 N末端B型利钠肽原(NT-proBNP)评估舒张功能不全性心力衰竭(DHF)合并2型糖尿病(T2DM)患者预后的价值。方法:回顾性分析我院206例住院的 DHF合并 T2DM患者资料,依据转归结局不同分为:无事件组108例,事件组98例[发生主要心血事件(MACE)]。检测并比较两组患者住院期间 NT-proB-NP、糖化血红蛋白(HbA1c)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平以及左室舒张末期内径(LVEDd)、左室舒张早期/舒张晚期峰值流速(E/A)比值、左室射血分数(LVEF)值。结果:与无事件组相比,事件组的 NT-proBNP、LVEDd显著增加,LVEF、E/A比值明显降低(P 均<0.05),单因素直线分析显示 NT-proBNP、HbA1c、LVEDd、E/A比值与 MACE发生率呈正相关(r=0.075~0.091,P均<0.05),多元 Logistic回归分析显示,NT-proBNP为 MACE的独立预测因子(OR=1.003,P=0.009)。NT-proBNP预测患者住院死亡的 ROC曲线下面积为0.803(P<0.05),血浆 NT-proBNP≤4010pg/ml者的生存率明显高于 NT-proBNP>4010 pg/ml者(OR=5.028,P<0.05)。结论:血浆 N末端 B型利钠肽原能独立预测舒张功能不全性心力衰竭合并2型糖尿病患者的预后。
目的:探討血漿 N末耑B型利鈉肽原(NT-proBNP)評估舒張功能不全性心力衰竭(DHF)閤併2型糖尿病(T2DM)患者預後的價值。方法:迴顧性分析我院206例住院的 DHF閤併 T2DM患者資料,依據轉歸結跼不同分為:無事件組108例,事件組98例[髮生主要心血事件(MACE)]。檢測併比較兩組患者住院期間 NT-proB-NP、糖化血紅蛋白(HbA1c)、總膽固醇(TC)、低密度脂蛋白膽固醇(LDL-C)水平以及左室舒張末期內徑(LVEDd)、左室舒張早期/舒張晚期峰值流速(E/A)比值、左室射血分數(LVEF)值。結果:與無事件組相比,事件組的 NT-proBNP、LVEDd顯著增加,LVEF、E/A比值明顯降低(P 均<0.05),單因素直線分析顯示 NT-proBNP、HbA1c、LVEDd、E/A比值與 MACE髮生率呈正相關(r=0.075~0.091,P均<0.05),多元 Logistic迴歸分析顯示,NT-proBNP為 MACE的獨立預測因子(OR=1.003,P=0.009)。NT-proBNP預測患者住院死亡的 ROC麯線下麵積為0.803(P<0.05),血漿 NT-proBNP≤4010pg/ml者的生存率明顯高于 NT-proBNP>4010 pg/ml者(OR=5.028,P<0.05)。結論:血漿 N末耑 B型利鈉肽原能獨立預測舒張功能不全性心力衰竭閤併2型糖尿病患者的預後。
목적:탐토혈장 N말단B형리납태원(NT-proBNP)평고서장공능불전성심력쇠갈(DHF)합병2형당뇨병(T2DM)환자예후적개치。방법:회고성분석아원206례주원적 DHF합병 T2DM환자자료,의거전귀결국불동분위:무사건조108례,사건조98례[발생주요심혈사건(MACE)]。검측병비교량조환자주원기간 NT-proB-NP、당화혈홍단백(HbA1c)、총담고순(TC)、저밀도지단백담고순(LDL-C)수평이급좌실서장말기내경(LVEDd)、좌실서장조기/서장만기봉치류속(E/A)비치、좌실사혈분수(LVEF)치。결과:여무사건조상비,사건조적 NT-proBNP、LVEDd현저증가,LVEF、E/A비치명현강저(P 균<0.05),단인소직선분석현시 NT-proBNP、HbA1c、LVEDd、E/A비치여 MACE발생솔정정상관(r=0.075~0.091,P균<0.05),다원 Logistic회귀분석현시,NT-proBNP위 MACE적독립예측인자(OR=1.003,P=0.009)。NT-proBNP예측환자주원사망적 ROC곡선하면적위0.803(P<0.05),혈장 NT-proBNP≤4010pg/ml자적생존솔명현고우 NT-proBNP>4010 pg/ml자(OR=5.028,P<0.05)。결론:혈장 N말단 B형리납태원능독립예측서장공능불전성심력쇠갈합병2형당뇨병환자적예후。
Objective:To explore value of plasma N terminal pro B type natriuretic peptide (NT-proBNP)assessing prognosis of patients With diastolic heart failure (DHF)complicated type 2 diabetes mellitus (T2DM).Methods:The folloW-up data of 206 inpatients With DHF and T2DM from our hospital Were retrospectively analyzed.Ac-cording outcome,they Were divided into no event group (n=108)and event group [n=98,With major adverse car-diovascular events (MACE)occurred].Levels of NT-proBNP,glycosylated hemoglobin (HbA1c),total cholesterol (TC)and loW density lipoprotein cholesterol (LDL-C),left ventricular end-diastolic dimension (LVEDd),left ventricular peak early diastolic velocity/peak late diastolic velocity (E/A)and left ventricular ejection fraction (LVEF)during admission Were measured and compared betWeen tWo groups. Results:Compared With no event group,there Were significant increase in NT-proBNP level and LVEDd,and significant decrease in LVEF and E/A in event group (P<0.05 all).Single factor linear analysis indicated that NT-proBNP,HbA1c,LVEDd and E/A Were positively correlated With MACE incidence rate (r=0.075~0.091,P<0.05 all).Mutivariate Logistic regres-sion analysis indicated that NT-proBNP Was an independent predictor for MACE (OR=1.003,P=0.009).Areaunder recieve operating characteristic curve (ROC)Was 0.803 for NT-proBNP predicting mortality of patients during admission (P <0.05),and survival rate of patientsWith plasma NT-proBNP≤4010pg/mlWas significantly higher than that of patients With NT-proBNP>4010 pg/ml (OR=5.028,P <0.05).Conclusion:Plasma NT-proBNP can independently predict prognosis of patients With diastolic heart failure complicated type 2 diabetes mellitus.