中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
36期
11-12
,共2页
罗友军%谭转欢%石小燕%赵淋雨
囉友軍%譚轉歡%石小燕%趙淋雨
라우군%담전환%석소연%조림우
血清CRP%cTnI%急性心肌梗死%诊断
血清CRP%cTnI%急性心肌梗死%診斷
혈청CRP%cTnI%급성심기경사%진단
Serum CRP%cTnI%Acute myocardial infarction%Diagnosis
目的：研究分析采用血清CRP联合cTnI检验在急性心肌梗死的临床诊断价值。方法选择该院2012年12月—2013年12月收治的100例急性心肌梗死患者作为研究对象，将所有患者按照发病时间分为A组和B组，A组发病时间为<4 h， B组发病时间4~8 h，每组各50例。再选择同期接受体检的健康人群50例作为对照组。观察对比三组检测血清CRP和cTnI情况，以及检测血清CRP和cTnI阳性率及联合确诊率情况。结果 B组CRP和cTnI与A组和对照组均差异有统计学意义（P<0.05)；A组和B组在CRP和cTnI的差异有统计学意义（P<0.05)，对照组在CRP检测与A组的差异有统计学意义（P<0.05)，而在cTnI检测的差异无统计学意义（P>0.05)。 B组的CRP和cTnI检测的准确率显著高于A组，差异有统计学意义（P<0.05)。A组和B组的联合确诊率均为100%。结论对于急性心肌梗死患者采取血清CRP联合cTnI检查能够有效提高检测的准确度，缩短检出时间，为患者的治疗提供宝贵的时间，值得临床推广运用。
目的：研究分析採用血清CRP聯閤cTnI檢驗在急性心肌梗死的臨床診斷價值。方法選擇該院2012年12月—2013年12月收治的100例急性心肌梗死患者作為研究對象，將所有患者按照髮病時間分為A組和B組，A組髮病時間為<4 h， B組髮病時間4~8 h，每組各50例。再選擇同期接受體檢的健康人群50例作為對照組。觀察對比三組檢測血清CRP和cTnI情況，以及檢測血清CRP和cTnI暘性率及聯閤確診率情況。結果 B組CRP和cTnI與A組和對照組均差異有統計學意義（P<0.05)；A組和B組在CRP和cTnI的差異有統計學意義（P<0.05)，對照組在CRP檢測與A組的差異有統計學意義（P<0.05)，而在cTnI檢測的差異無統計學意義（P>0.05)。 B組的CRP和cTnI檢測的準確率顯著高于A組，差異有統計學意義（P<0.05)。A組和B組的聯閤確診率均為100%。結論對于急性心肌梗死患者採取血清CRP聯閤cTnI檢查能夠有效提高檢測的準確度，縮短檢齣時間，為患者的治療提供寶貴的時間，值得臨床推廣運用。
목적：연구분석채용혈청CRP연합cTnI검험재급성심기경사적림상진단개치。방법선택해원2012년12월—2013년12월수치적100례급성심기경사환자작위연구대상，장소유환자안조발병시간분위A조화B조，A조발병시간위<4 h， B조발병시간4~8 h，매조각50례。재선택동기접수체검적건강인군50례작위대조조。관찰대비삼조검측혈청CRP화cTnI정황，이급검측혈청CRP화cTnI양성솔급연합학진솔정황。결과 B조CRP화cTnI여A조화대조조균차이유통계학의의（P<0.05)；A조화B조재CRP화cTnI적차이유통계학의의（P<0.05)，대조조재CRP검측여A조적차이유통계학의의（P<0.05)，이재cTnI검측적차이무통계학의의（P>0.05)。 B조적CRP화cTnI검측적준학솔현저고우A조，차이유통계학의의（P<0.05)。A조화B조적연합학진솔균위100%。결론대우급성심기경사환자채취혈청CRP연합cTnI검사능구유효제고검측적준학도，축단검출시간，위환자적치료제공보귀적시간，치득림상추엄운용。
Objective To study and analyze the clinical value of serum CRP combined with cTnI test in the diagnosis of acute my-ocardial infarction. Methods 100 cases with acute myocardial infarction admitted in our hospital from 2012 December to 2013 December were selected as the research object. And they were divided into group A and group B in accordance with the time of onset with 50 cases in each. Patients in group A had onset time <4h, while patients in group B had onset time of 4~8 h. And 50 healthy people underwent physical examination during the dame period were selected as the control group. The serum CRP and cTnI levels and the positive rate of serum CRP and cTnI levels and the combined diagnosis rate of the three groups were observed and compared. Results There were significant differences in CRP and cTnI levels between group B and group A, group B and the control group (P<0.05). The differences in CRP and cTnI levels between group A and group B were statistically significant(P<0.05). The difference in CRP level was statistically significant(P<0.05) while that in cTnI level was not(P>0.05) between group A and the control group. The accuracy rate of CRP and cTnI detection in group B was significantly higher than that in group A with statisti-cally significant difference (P<0.05). The combined diagnosis rate of both group A and group B was 100%. Conclusion For pa-tients with acute myocardial infarction, serum CRP combined with cTnI test can effectively improve the accuracy of detection, shorten the detection time and provide precious time for the treatment of the patients, so it is worthy of clinical application and promotion.
