B型尿钠肽在急性心衰早期诊断中的价值  

The diagnostic value of B-type natriuretic peptide in patients with acute heart failure

作　　者：杨红年[1] 马立明[1] 姜超[1] 马文奎[1] 王星行[1] 

机构地区：[1]宁夏自治区人民医院急诊科,宁夏银川750001

出　　处：《宁夏医学杂志》2012年第6期523-524,共2页Ningxia Medical Journal

摘　　要：目的探讨B型尿钠肽(BNP)检测在急性心衰早期诊断中的价值。方法选择50例健康者,急性心衰急诊就诊患者60例,于就诊时快速检测血BNP、肌红蛋白(Mb)、肌酸激酶同工酶(CK-MB)、肌钙蛋白I(CT-nI)4项指标。结果急性心衰组BNP浓度明显高于对照组(P<0.01),BNP、CTnI、CK-MB、Mb阳性率分别为93.3%、65%、58.3%、43.3%。结论血BNP水平是诊断早期急性心衰最敏感和特异指标,对急性心衰的早期诊断有重要意义,CTnI、CK-MB、Mb升高,证明急性心力衰竭患者确实存在心肌损伤。[ Abstract] Objective to study the type B urinary sodium （BNP） detection in peptide acute heart failure early diagnosis of val- ue. Methods select 50 cases are healthy,acute heart failure patients with emergency department of 60 cases, arrives in rapid detection of BNP, muscle blood red protein （ Mb）, creatine kinase isozymes （ CK - Mb）, CTnI （CTnI） 4 indexes. Results acute heart failure group was higher than BNP concentration in control group （P 〈 0.01 ） ,BNP,CTnI,CK - MB,MB positie were 93.3% ,65% ,58.3 ,and 43.3%. Conclusion BNP levels early diagnosis is blood acute heart failure the most sensitive and specific indexes of the early diagno- sis of acute heart failure are important CTnI, CK - MB, MB increases, prove acute heart failure patients really exist myocardial injury. [ Key words ] Acute heart failure; Type B urinary sodium peptide ; Muscle red protein ; Ctni; Creatine kinase isozyme

关 键 词：急性心衰 B型尿钠肽 肌红蛋白 肌钙蛋白I 肌酸激酶同工酶 

分 类 号：R541.6[医药卫生—心血管疾病]