中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
6期
739-740
,共2页
血流动力学%心力衰竭,隐性%脑钠肽前体
血流動力學%心力衰竭,隱性%腦鈉肽前體
혈류동역학%심력쇠갈,은성%뇌납태전체
Noninvasive hemodynamic%Heart failure,subclinical%Brain natriuretic peptide precursor
目的 探讨无创血流动力学监测对老年隐性心力衰竭的诊断意义.方法 选择住院老年患者50例,测量其血浆脑钠肽前体(NT-ProBNP)浓度,以NT-ProBNP 450 ng/L作为典型心力衰竭组与隐性心力衰竭组的临界值.采用无创血流动力学监测系统测量2组患者每搏输出量(SV)、每搏指数(SI)、每分输出量(CO)、心脏指数(CI)、加速指数(ACI)、速度指数(VI)、胸腔体液水平(TFC)、收缩时间比(STR)等并加以比较.结果 典型心力衰竭组SV、SI、CO、CI、ACI、VI值明显低于隐性心力衰竭组[(59±6)ml比(83±5) m1,(32±3)ml/m2比(51 ±4)ml/m2,(3.1 ±0.8)L/min比(5.7±1.2)L/min,(2.0 ±0.5)L/(min ·m2)比(3.2 ±0.8)L/(min·m2),(58±15)比(76±28),(30±13)比(45±10)],SVRI、SVR、TFC、STR明显高于隐性心力衰竭组[(3145±1100)dyn/(s·cm5· m2)比(2018±298) dyn/(s·cm5· m2),(1802±654) dyn· s/(cm5· m2)比(1234±321)dyn·s/(cm5·m2),(54±7)kΩ比(33±6)kΩ,(0.50±0.22)比(0.31±0.21)],差异均有统计学意义(均P＜0.05).结论 无创血流动力学监测对评价老年隐性心力衰竭具有重要价值.
目的 探討無創血流動力學鑑測對老年隱性心力衰竭的診斷意義.方法 選擇住院老年患者50例,測量其血漿腦鈉肽前體(NT-ProBNP)濃度,以NT-ProBNP 450 ng/L作為典型心力衰竭組與隱性心力衰竭組的臨界值.採用無創血流動力學鑑測繫統測量2組患者每搏輸齣量(SV)、每搏指數(SI)、每分輸齣量(CO)、心髒指數(CI)、加速指數(ACI)、速度指數(VI)、胸腔體液水平(TFC)、收縮時間比(STR)等併加以比較.結果 典型心力衰竭組SV、SI、CO、CI、ACI、VI值明顯低于隱性心力衰竭組[(59±6)ml比(83±5) m1,(32±3)ml/m2比(51 ±4)ml/m2,(3.1 ±0.8)L/min比(5.7±1.2)L/min,(2.0 ±0.5)L/(min ·m2)比(3.2 ±0.8)L/(min·m2),(58±15)比(76±28),(30±13)比(45±10)],SVRI、SVR、TFC、STR明顯高于隱性心力衰竭組[(3145±1100)dyn/(s·cm5· m2)比(2018±298) dyn/(s·cm5· m2),(1802±654) dyn· s/(cm5· m2)比(1234±321)dyn·s/(cm5·m2),(54±7)kΩ比(33±6)kΩ,(0.50±0.22)比(0.31±0.21)],差異均有統計學意義(均P＜0.05).結論 無創血流動力學鑑測對評價老年隱性心力衰竭具有重要價值.
목적 탐토무창혈류동역학감측대노년은성심력쇠갈적진단의의.방법 선택주원노년환자50례,측량기혈장뇌납태전체(NT-ProBNP)농도,이NT-ProBNP 450 ng/L작위전형심력쇠갈조여은성심력쇠갈조적림계치.채용무창혈류동역학감측계통측량2조환자매박수출량(SV)、매박지수(SI)、매분수출량(CO)、심장지수(CI)、가속지수(ACI)、속도지수(VI)、흉강체액수평(TFC)、수축시간비(STR)등병가이비교.결과 전형심력쇠갈조SV、SI、CO、CI、ACI、VI치명현저우은성심력쇠갈조[(59±6)ml비(83±5) m1,(32±3)ml/m2비(51 ±4)ml/m2,(3.1 ±0.8)L/min비(5.7±1.2)L/min,(2.0 ±0.5)L/(min ·m2)비(3.2 ±0.8)L/(min·m2),(58±15)비(76±28),(30±13)비(45±10)],SVRI、SVR、TFC、STR명현고우은성심력쇠갈조[(3145±1100)dyn/(s·cm5· m2)비(2018±298) dyn/(s·cm5· m2),(1802±654) dyn· s/(cm5· m2)비(1234±321)dyn·s/(cm5·m2),(54±7)kΩ비(33±6)kΩ,(0.50±0.22)비(0.31±0.21)],차이균유통계학의의(균P＜0.05).결론 무창혈류동역학감측대평개노년은성심력쇠갈구유중요개치.
Objective To study the significance of noninvasive hemodynamic monitoring in elderly recessive heart failure diagnosis.Methods Fifty hospitalized elderly patients were selected.The plasma brain natriuretic peptide precursor(NT-ProBNP) concentration was measured.NT-ProBNP 450 ng/L was regarded as a critical value for typical heart failure group and subclinical heart failure group.The stroke volume(SV),stroke index(SI),cardiac output(CO),cardiac index (CI),acceleration index (ACI),velocity index (VI),thoracic fluid content (TFC),systolic time ratio(STR) were measured.Results Typical heart failure group were significantly lower than the subclinical heart failure group in SV,SI,CO,CI,ACI,VI [(59 ± 6) ml vs (83 ± 5) ml,(32 ± 3) ml/m2 vs (51 ±4)ml/m2,(3.1 ±0.8)L/min vs (5.7 ± 1.2)L/min,(2.0 ±0.5)L/(min · rn2) vs (3.2 ±0.8)L/(min · m2),(58 ± 15) vs (76 ±28),(30 ± 13) vs (45 ± 10)],and the SVRI,SVR,TFC,STR were higher than those in subclinical heart failure group[(3145 ± 1100) dyn/(s · cm5 · m2) vs (2018 ± 298) dyn/(s · cm5 · m2),(1802 ± 654) dyn · s/(cm5 · m2) vs (1234 ± 321) dyn · s/(cm5 · m2),(54 ± 7) kΩ vs (33 ± 6) kΩ,(0.50 ± 0.22) vs (0.31±0.21)],and there were significant differences (all P ＜ 0.05).Conclusion Noninvasive hemodynamic monitoring in elderly recessive heart failure diagnosis has an important value.
