CAJ | 학술논문

目的：探究分析血清IL-23联合血浆脑钠肽检测对判断慢性心力衰竭患者预后的指标及影响。方法：选取我院自2011年5月至2013年5月收治的慢性心力衰竭患者51例，作为临床研究对象，作为试验组。选取同期51名健康体检者，作为对照组。检测试验组患者与对照组健康人血清IL-23、血浆脑钠肽含量，并比较它们的阳性检测率。结果：试验组患者血清IL-23、血浆脑钠肽阳性检出率（96．08％、94．12％）高于对照组（7．84％、9．80％），P＜0．05；试验组患者51例中心功能改善及心衰在住院患者即存活患者共48例，BNP 水平与YNHA分级之间呈正相关且差异明显（ P＜0．05），BNP 水平升高患者的死亡率也随之增加。结论：血清IL-23联合血浆脑钠肽检测对判断慢性心力衰竭患者预后有一定优势，其变化能能反映出慢性心衰患者的心脏功能分级情况及病情进展，更准确地判断预后，对患者病情的评价具有一定的意义，值得临床推广使用。
목적：탐구분석혈청IL-23연합혈장뇌납태검측대판단만성심력쇠갈환자예후적지표급영향。방법：선취아원자2011년5월지2013년5월수치적만성심력쇠갈환자51례，작위림상연구대상，작위시험조。선취동기51명건강체검자，작위대조조。검측시험조환자여대조조건강인혈청IL-23、혈장뇌납태함량，병비교타문적양성검측솔。결과：시험조환자혈청IL-23、혈장뇌납태양성검출솔（96．08％、94．12％）고우대조조（7．84％、9．80％），P＜0．05；시험조환자51례중심공능개선급심쇠재주원환자즉존활환자공48례，BNP 수평여YNHA분급지간정정상관차차이명현（ P＜0．05），BNP 수평승고환자적사망솔야수지증가。결론：혈청IL-23연합혈장뇌납태검측대판단만성심력쇠갈환자예후유일정우세，기변화능능반영출만성심쇠환자적심장공능분급정황급병정진전，경준학지판단예후，대환자병정적평개구유일정적의의，치득림상추엄사용。
Objective:To explore the influence of serum IL-23 combined with plasma brain natriuretic peptide on judging the prognosis indicators of patients with chronic heart failure ( CHF) .Method:51 patients with CHF treated in our hospital from May 2011 to May 2013 were selected as the clinical research object , as the experimental group .And selected 51 healthy subjects as control group in the same period .Detected the content of serum IL-23 and plasma brain natriuretic peptide in the two groups and compared the positive de-tection rate.Result:The possitive detection rate of serum IL-23 and plasma brain natriuretic peptide of ex-perimental group (96.08%,94.12%) were significantly higher than those in control group (7.84%,9.80%) (P<0.05);In experimental group (51 cases),there were 48 patients had their cardiac function improved and survived ,BNP level had positive correlation with YNHA grading , difference was significant ( p<0.05 ) , and mortality increased when BNP level increased .Conclusion:Serum IL-23 combined with plasma brain natri-uretic peptide has certain advantages in judging the prognosis of patients with CHF , which can reflect cardiac function classfication and progressive disease and more accurate ,have certain significance in evaluating path-ogenetic condition of the patients , it’ s worthy of being applied in clinic .