急性呼吸困难患者150例血中B型钠尿肽检测结果的分析  

Analysis on Detection Results of Plasma BNP in Patients with Acute Dyspnea

作　　者：王奔放[1] 徐国民[1] 

机构地区：[1]江苏省江阴市人民医院,214400

出　　处：《职业与健康》2011年第18期2160-2160,F0003,共2页Occupation and Health

摘　　要：目的探讨B型钠尿肽(BNP)在急性呼吸困难患者鉴别诊断中的价值。方法收集2009年6月—2010年12月来江阴市人民医院急诊室就诊的急性呼吸困难患者150例的资料,分成心源性呼吸困难组和肺源性呼吸困难组进行整理、统计和分析。结果心源性呼吸困难组BNP含量(666±281)pg/m l,显著高于肺源性呼吸困难组BNP含量(137±146)pg/m l,差异有统计学意义(P<0.01),并且与左心室射血分数(LVEF)呈负相关(P<0.01)。结论快速BNP检测可作为2类呼吸困难的重要鉴别实验。[Objective]To evaluate the value of B-type natriuretic peptide（BNP） in differential diagnosis of patients with acute dyspnea.[Methods]The data of 150 acute dyspnea patients who visited the emergency department of Jiangyin People＇ s Hospital from June 2009 to December 2010 were collected,and were divided into the cardiac dyspnea group and pulmonary dyspnea group.These data were arranged and statistically analyzed.[Results]The plasma BNP level of the cardiac dyspnea group（666±281） pg/ml was higher than that of the pulmonary dyspnea group（137±146） pg/ml significantly（P0.01）,and it had a significant negative correlation with LVEF（P0.01）.[Conclusion]Rapid BNP assay can be used in the differential diagnosis of Class II dyspnea.

关 键 词：B型钠尿肽 呼吸困难 心力衰竭 

分 类 号：R441.8[医药卫生—诊断学]