中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
31期
87-87,90
,共2页
B型钠尿肽%心源性呼吸困难%肺源性呼吸困难
B型鈉尿肽%心源性呼吸睏難%肺源性呼吸睏難
B형납뇨태%심원성호흡곤난%폐원성호흡곤난
B-type natriuretic peptide%Cardiac dyspnea%Pulmonary dyspnea
目的：探讨床旁检测B型钠尿肽在鉴别急性呼吸困难中的诊断价值。方法：将150例呼吸困难患者分为肺源性呼吸困难60例和心源性呼吸困难90例，所有患者均进行床旁检查 BNP。结果：心源性呼吸困难组 BNP(820.2±450.2)pg/mL，LVEF(43±10)%；肺源性呼吸困难组BNP(212.3±175.3)pg/mL，LVEF(60±8)%，两组比较，差异有统计学意义(P＜0.05)。心功能分级Ⅱ级 BNP(410.2±189.2)pg/mL， LVEF(53±6)%，Ⅲ级 BNP(860.2±289.2)pg/mL， LVEF(41±10)%，Ⅳ级BNP(1162.3±465.3)pg/mL，LVEF(36±8)%，BNP与心功能分级呈正相关，LVEF与心功能分级负正相关。结论：BNP检测具有快速、高灵敏度、高特异性的特点，是鉴别心源性呼吸困难和肺源性呼吸困难的重要指标。
目的：探討床徬檢測B型鈉尿肽在鑒彆急性呼吸睏難中的診斷價值。方法：將150例呼吸睏難患者分為肺源性呼吸睏難60例和心源性呼吸睏難90例，所有患者均進行床徬檢查 BNP。結果：心源性呼吸睏難組 BNP(820.2±450.2)pg/mL，LVEF(43±10)%；肺源性呼吸睏難組BNP(212.3±175.3)pg/mL，LVEF(60±8)%，兩組比較，差異有統計學意義(P＜0.05)。心功能分級Ⅱ級 BNP(410.2±189.2)pg/mL， LVEF(53±6)%，Ⅲ級 BNP(860.2±289.2)pg/mL， LVEF(41±10)%，Ⅳ級BNP(1162.3±465.3)pg/mL，LVEF(36±8)%，BNP與心功能分級呈正相關，LVEF與心功能分級負正相關。結論：BNP檢測具有快速、高靈敏度、高特異性的特點，是鑒彆心源性呼吸睏難和肺源性呼吸睏難的重要指標。
목적：탐토상방검측B형납뇨태재감별급성호흡곤난중적진단개치。방법：장150례호흡곤난환자분위폐원성호흡곤난60례화심원성호흡곤난90례，소유환자균진행상방검사 BNP。결과：심원성호흡곤난조 BNP(820.2±450.2)pg/mL，LVEF(43±10)%；폐원성호흡곤난조BNP(212.3±175.3)pg/mL，LVEF(60±8)%，량조비교，차이유통계학의의(P＜0.05)。심공능분급Ⅱ급 BNP(410.2±189.2)pg/mL， LVEF(53±6)%，Ⅲ급 BNP(860.2±289.2)pg/mL， LVEF(41±10)%，Ⅳ급BNP(1162.3±465.3)pg/mL，LVEF(36±8)%，BNP여심공능분급정정상관，LVEF여심공능분급부정상관。결론：BNP검측구유쾌속、고령민도、고특이성적특점，시감별심원성호흡곤난화폐원성호흡곤난적중요지표。
Objective:To explore the diagnostic value of bedside testing b-type natriuretic peptide in the differential diagnosis of acute dyspnea.Methods:150 patients with dyspnea were divided into pulmonary dyspnea with 60 cases and cardiac dyspnea with 90 cases.All patients were carried out by bedside testing BNP.Results:BNP was (820.2±450.2)pg/mL,LVEF was (10±43)% in the cardiac dyspnea group.BNP was (212.3±175.3)pg/Ml,LVEF was (60±8)% in the pulmonary dyspnea.The differences of two groups were statistically significant(P<0.05).BNP was (410.2 ± 189.2)pg/mL,LVEF was (53 ± 6)% in the cardiac functional grading Ⅱgrade.BNP was (860.2±289.2)pg/mL,LVEF was (41±10)% of Ⅲ grade.BNP was (1162.3±465.3)pg/mL,LVEF was (36±8)% of Ⅳ grade.BNP was positively correlated with cardiac functional grading,and LVEF was negatively correlated with cardiac functional grading.Conclusion:BNP detection has the characteristics of rapid,high sensitivity,high specificity.It is an important indicator for the differential diagnosis of cardiac dyspnea and pulmonary dyspnea.
