CAJ | 학술논문

目的：脑尿钠肽下降斜率与急性左心衰竭预后判断。方法住院急性左心衰竭296例患者，根据BNP检测结果分为两组。研究组入院检测BNP≥500 ng/L，1周后复查BNP下降斜率≥30%；对照组入院检测BNP≥500 ng/L，1周后复查BNP下降斜率＜30%。并采用电话回访患者3月1次，观察患者急性左心衰竭、心源性事件发生再住院情况。结果两组患者各基线指标比较，P＞0.05，差异不具有统计学意义，但2年后研究组猝死、急性左心衰竭及其他心脏事件再住院率均低于对照组，P＜0.05，差异具有统计学意义。结论 BNP斜率水平变化与急性左心衰竭预后呈高度相关。
목적：뇌뇨납태하강사솔여급성좌심쇠갈예후판단。방법주원급성좌심쇠갈296례환자，근거BNP검측결과분위량조。연구조입원검측BNP≥500 ng/L，1주후복사BNP하강사솔≥30%；대조조입원검측BNP≥500 ng/L，1주후복사BNP하강사솔＜30%。병채용전화회방환자3월1차，관찰환자급성좌심쇠갈、심원성사건발생재주원정황。결과량조환자각기선지표비교，P＞0.05，차이불구유통계학의의，단2년후연구조졸사、급성좌심쇠갈급기타심장사건재주원솔균저우대조조，P＜0.05，차이구유통계학의의。결론 BNP사솔수평변화여급성좌심쇠갈예후정고도상관。
Objective Brain urine sodium peptide descending slope with acute left heart failure prognosis judge.Methods Selected 296 cases of patients with acute left heart failure in our hospital. According to the testing results of the BNP, divided into the two team. Patients admitted to hospital detect the BNP≥500ng/L, A week after the review of the BNPdescending slope≥30%. The control group, Admission to detect the BNP≥500 ng/L.A week after the review of the BNPdescending slope<30%. And used the phone return visit patients 3 months at a time. Observed in patients with acute left heart failure, Cardiac event happen Hospital situation again. ResultsCompared two groups of patients with the baseline indicators, P>0.05, had no difference statistically significance. But two years later the team in patients with sudden death, acute left heart failure and other cardiac events and hospital admissions,P<0.05, had difference statistically signiifcance.Conclusion BNP slope level change and prognosis of acute left heart failure is correlated.