CAJ | 학술논문

目的：观察晕栽-责则燥月晕孕对基层不稳定型心绞痛(哉A)患者危险分层的价值。方法选择60例哉A患者，检测血浆晕栽-责则燥月晕孕与糟栽灶陨浓度，同时观察心电图杂栽段压低数值，并根据G藻灶泽蚤灶蚤法进行冠状动脉病变积分计算。结果60例患者中低危患者40例，高危患者20例。低危与高危患者血浆晕栽-责则燥月晕孕浓度、杂栽段压低程度、糟栽灶陨浓度以及G藻灶泽蚤灶蚤积分差异均有显著性(孕<0.05)。将患者分为晕栽-责则燥月晕孕>1219责早/皂蕴组与≤1219责早/皂蕴组，两组患者糟栽灶陨浓度、杂栽段压低程度与G藻灶泽蚤灶蚤积分差异均有显著性(孕<0.05)。此外，晕栽-责则燥月晕孕与杂栽段压低程度、糟栽灶陨浓度与G藻灶泽蚤灶蚤积分存在明显正相关(孕<0.05)。结论晕栽-责则燥月晕孕能够作为哉A患者早期危险分层的重要指标，对临床治疗有指导意义。
목적：관찰훈재-책칙조월훈잉대기층불은정형심교통(재A)환자위험분층적개치。방법선택60례재A환자，검측혈장훈재-책칙조월훈잉여조재조운농도，동시관찰심전도잡재단압저수치，병근거G조조택조조조법진행관상동맥병변적분계산。결과60례환자중저위환자40례，고위환자20례。저위여고위환자혈장훈재-책칙조월훈잉농도、잡재단압저정도、조재조운농도이급G조조택조조조적분차이균유현저성(잉<0.05)。장환자분위훈재-책칙조월훈잉>1219책조/조온조여≤1219책조/조온조，량조환자조재조운농도、잡재단압저정도여G조조택조조조적분차이균유현저성(잉<0.05)。차외，훈재-책칙조월훈잉여잡재단압저정도、조재조운농도여G조조택조조조적분존재명현정상관(잉<0.05)。결론훈재-책칙조월훈잉능구작위재A환자조기위험분층적중요지표，대림상치료유지도의의。
Objective To observe the value of NT-proBNP in risk stratification for unstable angina (UA) of grassroots patients. Methods 60 UA patients were chosen. Their plasma NT-proBNP and cTnI concentrations were detected, and ST segment depression values were observed. Gensini method was adopted to compute integrals of coronary disease. Results Among 60 patients, there were 40 low-risk patients and 20 high-risk patients. There were significant differences between low-risk patients and high-risk patients on plasma NT-proBNP and cTnI concentrations, ST segment depression levels and Gensini scores (P<0.05). There were significant differences between NT-proBNP>1 219 pg/mL group and NT-proBNP≤1 219 pg/mL group on cTnI concentrations, ST segment depression levels and Gensini scores (P<0.05). NT-proBNP was positively related to cTnI concentration, ST segment depression level and Gensini score (P<0.05). Conclusions NT-proBNP can be taken as an important indicator of early risk stratification of UA patients, and it has guiding significance for clinical treatment.