中国循环杂志
中國循環雜誌
중국순배잡지
CHINESE CIRCULATION JOURNAL
2014年
9期
698-701
,共4页
舒张性心力衰竭%收缩性心力衰竭%N末端B型利钠肽原%肌钙蛋白%左心室射血分数%左心室舒张末期内径
舒張性心力衰竭%收縮性心力衰竭%N末耑B型利鈉肽原%肌鈣蛋白%左心室射血分數%左心室舒張末期內徑
서장성심력쇠갈%수축성심력쇠갈%N말단B형리납태원%기개단백%좌심실사혈분수%좌심실서장말기내경
Diastolic heart failure%Systolic heart failure%N-terminal pro-brain natriuretic peptide%Troponin%Left ventricular ejection fraction%Left ventricular end diastolic diameter
目的:研究老年(>60岁)心力衰竭患者血清N末端B型利钠肽原(NT-proBNP)的变化情况及NT-proBNP对老年心力衰竭诊断及病情评估的临床应用价值。<br> 方法:比较不同纽约心脏病协会(NYHA)心功能分级心力衰竭患者(心力衰竭I~Ⅳ级组及对照组)血清NT-proBNP及肌钙蛋白(cTnI)浓度变化;同时比较收缩性心力衰竭者与舒张性心力衰竭者NT-proBNP及浓度变化,研究NT-proBNP与超声心动图指标左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)的相关性。<br> 结果:NT-proBNP对照组与心力衰竭I级组比较无统计学差异(P>0.05),不同心功能分级各心力衰竭组比较均有统计学差异(P<0.05)。cTnI对照组、心力衰竭I级组及心力衰竭Ⅱ级组比较无统计学差异(P>0.05),心力衰竭Ⅲ级组、心力衰竭Ⅳ级组与其他各组比较均有统计学差异(P<0.05)。收缩性心力衰竭平均NT-proBNP、LVEDD较高,舒张性心力衰竭平均LVEF较高;老年心力衰竭患者NT-proBNP与LVEF呈负相关(r=-0.687,P<0.05);与LVEDD呈正相关(r=0.735,P<0.05)。<br> 结论:NT-proBNP能较好的反映心力衰竭患者心脏结构及功能的变化,在心力衰竭的早期诊断、病情及预后的评估有重要的临床应用价值。
目的:研究老年(>60歲)心力衰竭患者血清N末耑B型利鈉肽原(NT-proBNP)的變化情況及NT-proBNP對老年心力衰竭診斷及病情評估的臨床應用價值。<br> 方法:比較不同紐約心髒病協會(NYHA)心功能分級心力衰竭患者(心力衰竭I~Ⅳ級組及對照組)血清NT-proBNP及肌鈣蛋白(cTnI)濃度變化;同時比較收縮性心力衰竭者與舒張性心力衰竭者NT-proBNP及濃度變化,研究NT-proBNP與超聲心動圖指標左心室射血分數(LVEF)、左心室舒張末期內徑(LVEDD)的相關性。<br> 結果:NT-proBNP對照組與心力衰竭I級組比較無統計學差異(P>0.05),不同心功能分級各心力衰竭組比較均有統計學差異(P<0.05)。cTnI對照組、心力衰竭I級組及心力衰竭Ⅱ級組比較無統計學差異(P>0.05),心力衰竭Ⅲ級組、心力衰竭Ⅳ級組與其他各組比較均有統計學差異(P<0.05)。收縮性心力衰竭平均NT-proBNP、LVEDD較高,舒張性心力衰竭平均LVEF較高;老年心力衰竭患者NT-proBNP與LVEF呈負相關(r=-0.687,P<0.05);與LVEDD呈正相關(r=0.735,P<0.05)。<br> 結論:NT-proBNP能較好的反映心力衰竭患者心髒結構及功能的變化,在心力衰竭的早期診斷、病情及預後的評估有重要的臨床應用價值。
목적:연구노년(>60세)심력쇠갈환자혈청N말단B형리납태원(NT-proBNP)적변화정황급NT-proBNP대노년심력쇠갈진단급병정평고적림상응용개치。<br> 방법:비교불동뉴약심장병협회(NYHA)심공능분급심력쇠갈환자(심력쇠갈I~Ⅳ급조급대조조)혈청NT-proBNP급기개단백(cTnI)농도변화;동시비교수축성심력쇠갈자여서장성심력쇠갈자NT-proBNP급농도변화,연구NT-proBNP여초성심동도지표좌심실사혈분수(LVEF)、좌심실서장말기내경(LVEDD)적상관성。<br> 결과:NT-proBNP대조조여심력쇠갈I급조비교무통계학차이(P>0.05),불동심공능분급각심력쇠갈조비교균유통계학차이(P<0.05)。cTnI대조조、심력쇠갈I급조급심력쇠갈Ⅱ급조비교무통계학차이(P>0.05),심력쇠갈Ⅲ급조、심력쇠갈Ⅳ급조여기타각조비교균유통계학차이(P<0.05)。수축성심력쇠갈평균NT-proBNP、LVEDD교고,서장성심력쇠갈평균LVEF교고;노년심력쇠갈환자NT-proBNP여LVEF정부상관(r=-0.687,P<0.05);여LVEDD정정상관(r=0.735,P<0.05)。<br> 결론:NT-proBNP능교호적반영심력쇠갈환자심장결구급공능적변화,재심력쇠갈적조기진단、병정급예후적평고유중요적림상응용개치。
Objective: To assess the clinical value of serum N-terminal pro-brain natriuretic peptide (NT-ProBNP) values in elder patients with heart failure (HF). <br> Methods: According to NYHA classiifcation, a total of 384 HF patients were divided into 4 groups as NYHA I group, n=35, NYHA II group, n=89, NYHA III group, n=163, NYHA IV group, n=97;and Control group, n=69 normal subjects. The NT-ProBNP and troponin (cTn1) levels were examined in systolic HF and diastolic HF patients, the relationship between NT-ProBNP and left ventricular ejection fraction (LVEF), left ventricular end-diastolic diameter (LVEDD) were studied. <br> Results: For NT-ProBNP levels, Control group and NYHA I group were similar, P>0.05; while it was different among each HF groups, P<0.05. For cTn1 levels, Control group, NYHA I group and NYHA II group were similar, P>0.05;while NYHA III group and NYHA IV group were different from other groups, P<0.05. The patients with systolic HF had the higher NT-ProBNP and LVEDD, the patients with diastolic HF had the higher LVEF. In elder HF patients, NT-ProBNP level was negatively related to LVEF (r=-0.687, P<0.05) and positively correlated to LVEDD (r=0.735, P<0.05). <br> Conclusion: NT-ProBNP may better reflect the cardiac structural and functional changes in HF patients, it is important for HF early diagnosis and prognosis in clinical practice.