摘要
目的探讨术前B型钠尿肽(BNP)浓度和老年非心脏手术心血管事件的关系。方法依据术前血浆BNP浓度将101例择期行非心脏手术患者分为两组,A组(n=61):BNP浓度≤100ng/L;B组(n=40):BNP浓度>100ng/L,比较两组患者术后心脏事件发生情况及心脏事件组和非心脏事件组BNP浓度。结果A组无心脏事件发生,B组中有14例发生心脏事件,两组比较差异有统计学意义(P<0.05),心脏事件组术前血浆BNP浓度(223.9±92.3)ng/L,无心脏事件组术前血浆BNP浓度(58.7±29.8)ng/L,两组比较差异有统计学意义(P<0.05)。结论术前血浆BNP浓度>100ng/L的老年人非心脏手术后可能发生心脏事件。
Objective To explore the relation between BNP and cardiac outcomeafter noncardiac surgery in the aged patients. Methods 101 patients undergoing elective noncardiac surgery were divided into two groups（ group A：BNP≤ 100ng/1, n = 61 ;group B： BNP 〉 100ng/l, n = 40） based on BNP concentrations before surgery. Data of cardiac events in both groups and the BNP concehtrafions in cardiac event group and in noneardiae event group were compared. Results No patient had cardiac event in group A, and 14 patients had cardiac events in group B. There was significant difference between group A and B （ P 〈 0.05）. The BNP concentrations were（223.9±92.3） ng/l in cardiac event group,and （58.7±29.8）ng/l in noncardiac event group.There was significant difference in two groups. Conclusion The cardiac outcome after noneardiac surgery would perhaps happen in the aged patients with a BNP concentration 〉 100ng/l before surgery.
出处
《四川医学》
CAS
2008年第8期1000-1001,共2页
Sichuan Medical Journal
基金
解放军总医院第二附属医院医药卫生科研基金面上课题立项资助(编号:2007AM18)
关键词
老年人
B型钠尿肽
非心脏手术
心脏事件
aged
B-type natriuretie peptide
noneardiae surgery
cardiac events
