CAJ | 학술논문

目的：观察冠状动脉造影检查对可疑冠心病患者心功能的影响。方法对吉安市中心人民医院70例行冠状动脉造影检查的可疑冠心病患者分别于术前和术后12、24 h测定血浆NT-pro-BNP水平和心率、血压以及超声心电图左心室射血分数（LVEF）的变化，探讨造影剂对心功能产生的影响。结果与冠状动脉造影前比较，冠状动脉造影后血浆NT-pro-BNP水平和心率、血压以及超声心电图LVEF术后12 h二者均有轻度升高，在24 h下降，略高于术前水平，但二者与术前比较差异均无统计学意义。结论冠状动脉造影检查对患者心功能无明显影响。
목적：관찰관상동맥조영검사대가의관심병환자심공능적영향。방법대길안시중심인민의원70례행관상동맥조영검사적가의관심병환자분별우술전화술후12、24 h측정혈장NT-pro-BNP수평화심솔、혈압이급초성심전도좌심실사혈분수（LVEF）적변화，탐토조영제대심공능산생적영향。결과여관상동맥조영전비교，관상동맥조영후혈장NT-pro-BNP수평화심솔、혈압이급초성심전도LVEF술후12 h이자균유경도승고，재24 h하강，략고우술전수평，단이자여술전비교차이균무통계학의의。결론관상동맥조영검사대환자심공능무명현영향。
Objective To investigate the effects of coronary angiography on the cardiac function. Methods 70 cases of patients with coronary angiography were involved in this study, and respectively at the timepoints of preoperation and postoperation 12, 24 h, the plasma levels of NT-pro-BNP was assayed, and heart rate and blood pressure were measured, meanwhile LVEF was detected with ultrasonic electrocardiogram, in order to investigate the effect of contrast agent on cardiac function. Results Compared with before coronary angiography, coronary angiography after plasma NT-pro-BNP levels and heart rate, blood pressure and ultrasonic cardiogram LVEF are moderately elevated, 12 h after both within 24 h, slightly higher than the preoperative levels, but there were no statistically signiifcant difference compared with preoperative. Conclusion Coronary angiography has no obvious effect on cardiac function.