临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2014年
10期
1810-1812,1813
,共4页
N端脑钠肽前体%心源性呼吸困难%肺源性呼吸困难%左室射血分数
N耑腦鈉肽前體%心源性呼吸睏難%肺源性呼吸睏難%左室射血分數
N단뇌납태전체%심원성호흡곤난%폐원성호흡곤난%좌실사혈분수
N terminal pro brain natriuretic peptide ( NT-proBNP)%cardiac dyspnea%dyspnea%left ventric-ular ejection fraction
目的分析并评价血浆N末端B型利钠肽原( NT-proBNP)含量对急诊呼吸困难病人鉴别的应用价值。方法将我院急诊科自2012年3月至2013年11月期间收治的194例受检者分为心源性呼吸困难组110例与肺源性呼吸困难组84例。对两组患者的血浆 NT-proBNP水平进行检测并检查心脏超声,对比分析两组患者的血浆NT-proBNP水平与左室射血分数；对心源性呼吸困难患者的血浆NT-proBNP水平与左室射血分数之间的相关性进行分析。结果心源性呼吸困难组患者的血浆NT-proBNP含量显著高于肺源性呼吸困难组患者(t=21.093,P=0.001),具有统计学意义；心源性呼吸困难组患者的LVEF水平显著低于肺源性呼吸困难组(t=18.093,P=0.001),具有统计学意义。心源性呼吸困难组患者的血浆NT-proBNP水平与LVEF之间呈负相关关系(r=-0.59,P<0.01)。结论血浆NT-proBNP水平在急性呼吸困难患者的诊断方面具有重要的应用价值。
目的分析併評價血漿N末耑B型利鈉肽原( NT-proBNP)含量對急診呼吸睏難病人鑒彆的應用價值。方法將我院急診科自2012年3月至2013年11月期間收治的194例受檢者分為心源性呼吸睏難組110例與肺源性呼吸睏難組84例。對兩組患者的血漿 NT-proBNP水平進行檢測併檢查心髒超聲,對比分析兩組患者的血漿NT-proBNP水平與左室射血分數；對心源性呼吸睏難患者的血漿NT-proBNP水平與左室射血分數之間的相關性進行分析。結果心源性呼吸睏難組患者的血漿NT-proBNP含量顯著高于肺源性呼吸睏難組患者(t=21.093,P=0.001),具有統計學意義；心源性呼吸睏難組患者的LVEF水平顯著低于肺源性呼吸睏難組(t=18.093,P=0.001),具有統計學意義。心源性呼吸睏難組患者的血漿NT-proBNP水平與LVEF之間呈負相關關繫(r=-0.59,P<0.01)。結論血漿NT-proBNP水平在急性呼吸睏難患者的診斷方麵具有重要的應用價值。
목적분석병평개혈장N말단B형리납태원( NT-proBNP)함량대급진호흡곤난병인감별적응용개치。방법장아원급진과자2012년3월지2013년11월기간수치적194례수검자분위심원성호흡곤난조110례여폐원성호흡곤난조84례。대량조환자적혈장 NT-proBNP수평진행검측병검사심장초성,대비분석량조환자적혈장NT-proBNP수평여좌실사혈분수；대심원성호흡곤난환자적혈장NT-proBNP수평여좌실사혈분수지간적상관성진행분석。결과심원성호흡곤난조환자적혈장NT-proBNP함량현저고우폐원성호흡곤난조환자(t=21.093,P=0.001),구유통계학의의；심원성호흡곤난조환자적LVEF수평현저저우폐원성호흡곤난조(t=18.093,P=0.001),구유통계학의의。심원성호흡곤난조환자적혈장NT-proBNP수평여LVEF지간정부상관관계(r=-0.59,P<0.01)。결론혈장NT-proBNP수평재급성호흡곤난환자적진단방면구유중요적응용개치。
Objective To analyze and evaluate the levels of plasma NT-proBNP in the differentiation of e-mergency patients with dyspnea. Methods 194 patients were divided into the cardiac dyspnea group (110 cases) and the pulmonary dyspnea group (84 cases). The level of plasma NT-proBNP was detected and they were also given heart ultrasound. The relationship between plasma NT-proBNP level and left ventricular ejection fraction was ana-lyzed. Results The level of plasma NT-proBNP was obviously higher in the cardiac dyspnea group than in the pul-monary dyspnea group (t=21. 093, P=0. 001). The level of LVEF was obviously lower in the cardiac dyspnea group than in the pulmonary dyspnea group (t=18. 093, P=0. 001). There was a negative correlation between the level of plasma NT-proBNP and LVEF in patients with cardiogenic dyspnea (r= -0. 59, P<0. 01). Conclusion The level of plasma NT-proBNP has important application value in the diagnosis of patients with acute dyspnea.
