摘要
目的:明确快速检测NT-proBNP浓度在急诊诊断呼吸困难中的临床应用。方法:测定122例急诊呼吸困难患者的NTproBNP浓度水平,包括心源性呼吸困难60例,肺源性呼吸困难62例,比较两者之间差异,并比较心功能不全患者与急性心肌梗死、心功能(Killip分级)II-IV级患者之间的NT-proBNP浓度差异。结果:心源性呼吸困难组NT-proBNP浓度明显高于肺源性呼吸困难组(P<0.001),急性心肌梗死、心功能(Killip分级)II-IV级患者之间的NT-proBNP浓度比较有统计学意义(P<0.001)。结论:快速检测NTproBNP浓度水平有助于急诊鉴别心源性呼吸困难与肺源性呼吸困难,其中急性心肌梗死、心功能(Killip分级)II-IV级的患者NTproBNP浓度明显升高。
Objective：To clear the rapid detection of NT-proBNP concentration in the emergency diagnosis of dyspnea. Methods：122 patients with acute dyspnea were measured NT-proBNP levels, including cardiogenic dyspnea in 60 cases, pulmonary dyspnea in 62 cases,the difference between the two, and compared in patients with heart failure and acute myocardial infarction,cardiac function （Killip grade） difference in NT-proBNP concentration between II-IV patients.Results：The cardiac dyspnea group, the concentration of NT-proBNP was significantly higher than that of pulmonary dyspnea group （P〈0.001）, heart function of acute myocardial infarction, acute （Killip grade） NT-proBNP concentration between II-IV level of patients was statistically significant （P〈0.001）. Conclusion：The rapid detection of NT-proBNP levels contribute to the emergency differentiate cardiac dyspnea and pulmonary dyspnea, including acute myocardial infarction, cardiac function （Killip grade） in patients with NT-proBNP concentration significantly increased II-IV level.
出处
《中国医药导刊》
2014年第1期73-74,共2页
Chinese Journal of Medicinal Guide
