延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2015年
14期
12-13
,共2页
高敏心肌肌钙蛋白T检测%急性心肌梗死%诊断
高敏心肌肌鈣蛋白T檢測%急性心肌梗死%診斷
고민심기기개단백T검측%급성심기경사%진단
Gao Min myocardial troponin T test%acute myocardial infarction%diagnosis
目的：：探讨在急性心肌梗死诊断中使用高敏心肌肌钙蛋白T检测的临床价值。方法：选取我院2012年2月至2014年2月收治的急性心肌梗死患者82例作为研究对象，对其临床资料进行回顾性分析，设为观察组；选取同期于我院接受检查的健康人80例作为研究对象，设为对照组。所有患者均接受高敏心肌肌钙蛋白T检测，分析该检测应用于急性心肌梗死诊断中的临床价值。结果：AMI患者hs- cTnT阳性率显著高于CK- MB、cTnT阳性率，且于入院后4hhs- cTnT阳性率高达100%；观察组患者入院后不同时段心肌标志物浓度监测水平相较于对照组患者均出现程度不一的上升现象，对比差异明显（P＜0.05）。结论：对于急性心肌梗死患者而言使用hs- cTNT检测可尽早诊断，同时对hs- cTNT浓度改变进行动态监测可对疑似心肌梗死患者予以鉴别诊断。
目的：：探討在急性心肌梗死診斷中使用高敏心肌肌鈣蛋白T檢測的臨床價值。方法：選取我院2012年2月至2014年2月收治的急性心肌梗死患者82例作為研究對象，對其臨床資料進行迴顧性分析，設為觀察組；選取同期于我院接受檢查的健康人80例作為研究對象，設為對照組。所有患者均接受高敏心肌肌鈣蛋白T檢測，分析該檢測應用于急性心肌梗死診斷中的臨床價值。結果：AMI患者hs- cTnT暘性率顯著高于CK- MB、cTnT暘性率，且于入院後4hhs- cTnT暘性率高達100%；觀察組患者入院後不同時段心肌標誌物濃度鑑測水平相較于對照組患者均齣現程度不一的上升現象，對比差異明顯（P＜0.05）。結論：對于急性心肌梗死患者而言使用hs- cTNT檢測可儘早診斷，同時對hs- cTNT濃度改變進行動態鑑測可對疑似心肌梗死患者予以鑒彆診斷。
목적：：탐토재급성심기경사진단중사용고민심기기개단백T검측적림상개치。방법：선취아원2012년2월지2014년2월수치적급성심기경사환자82례작위연구대상，대기림상자료진행회고성분석，설위관찰조；선취동기우아원접수검사적건강인80례작위연구대상，설위대조조。소유환자균접수고민심기기개단백T검측，분석해검측응용우급성심기경사진단중적림상개치。결과：AMI환자hs- cTnT양성솔현저고우CK- MB、cTnT양성솔，차우입원후4hhs- cTnT양성솔고체100%；관찰조환자입원후불동시단심기표지물농도감측수평상교우대조조환자균출현정도불일적상승현상，대비차이명현（P＜0.05）。결론：대우급성심기경사환자이언사용hs- cTNT검측가진조진단，동시대hs- cTNT농도개변진행동태감측가대의사심기경사환자여이감별진단。
Objective To explore the clinical value of using the Gao Min cardiac troponin T detection in the diagnosis of acute myocardial infarction. In patients with acute myocardial infarction methods in our hospital in 2012 February to 2014 February were 82 cases as the research object, and the clinical data were retro-spectively analyzed, for the observation group;healthy people were selected in our hospital to accept the inspection of the 80 cases as the research object, set as the control group. All patients received the Gao Min cardiac troponin T detection, the clinical value of the detection analysis applied in the diagnosis of acute myocardial infarction. Results the positive rate of hs-cTnT in patients with AMI positive rate was significantly higher than that of CK-MB, cTnT, and 4hhs-cTnT after admission positive rate as high as 100%;the patients in observation group in different periods of myocardial markers concentration monitoring level compared with the control group patients showed rising phenomenon is not a degree, the contrast was significantly different (P<0.05). Conclusion for patients with acute myocardial infarction using hs-cTNT detection can be diagnosed early, at the same time on hs-cTNT concentration change dynamic monitoring for patients with suspected myocardial in-farction can be differential diagnosis.
