肌钙蛋白T在急性冠脉综合征中的诊断和预后判断价值  

The Diagnostic and Prognostic Value of Troponin T in Patients with Acute Coronary Syndromes

作　　者：成永霞 周庆国 邵芳 Cheng Yong-xia Zhou qing-guo Shao fang;

机构地区：河南省平顶山煤业集团总医院心内科,467000

出　　处：《中外健康文摘：临床医师》2008年第8期18-19,共2页

摘　　要：目的:探讨肌钙蛋白T(cTnT)在急性冠脉综合征(ACS)中的诊断和预后判断价值。方法:回顾性分析168例ACS患者入院时血cTnT及肌酸激酶同工酶(CK-MB)的检测结果,观察这些指标与6个月内心脏事件发生的关系。结果168例ACS患者cTnT阳性率83.33%高于CK-MB72.02%,P<0.05;96例ST段抬高的心肌梗死(STEMI)中cTnT阳性率96.88%高于CK-MB92.47%,P<0.05;非ST段抬高的急性冠脉综合征(NSTEACS)72例,cTnT阳性率65.28%明显高于CK-MB48.61%,P<0.00。cTnT阳性组心血管事件发生率明显高于CK-MB阳性组,P<0.05。结论:cTnT在ACS尤其是NSTEACS的诊断中明显优于CK-MB,并对评价预后有重要意义。Objective To study the diagnostic and prognostic value of troponin T in patients with acute coronary syndromes(ACS).Methods 168 cases with ACS were studied.The concentration of troponin T(cTnT)and MB isoenzyme of creatine kinase(CK-MB)was determined on admission,cardiovascular events among 6 months were recorded.Results Among 168 cases with ACS,the positive rate of cTnT(83.33%) was higher than that of CK-MB(72.02%),P<0.05.Among 96 cases with STEMI,the positive rate of cTnT(96.88%) was higher than that of...

关 键 词：急性冠脉综合征 肌钙蛋白 肌酸激酶同工酶 

分 类 号：R541.4[医药卫生—心血管疾病;医药卫生—临床医学;医药卫生—内科学]