脑钠肽和心电图监测用于急性左心衰竭预后评价的价值。  被引量:5

Prognostic evaluation of patients with acute left ventricular failure by Brain natriuretic peptide and ECG monitoring

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作  者:孙莉莉[1] 

机构地区:[1]如皋市人民医院心电图室,江苏省如皋226500

出  处:《中国基层医药》2013年第2期219-220,共2页Chinese Journal of Primary Medicine and Pharmacy

摘  要:目的分析急性左心衰竭(ALHF)患者血浆脑钠肽水平及常规心电图特征,探讨其对ALHF预后评价的价值。方法检测76例ALHF患者急性发作后6h、24h、72h血浆脑钠肽水平,同时行常规心电图监测;计算24h、72h后患者血浆脑钠肽、QRS波时限以及QTc间期的下降率,依据ALHF患者出院时的病况将其分为预后理想组和预后不佳组,回顾性分析两组观察指标的变化特征。结果预后理想组组内比较,相对于24h的下降率、72h后患者血浆脑钠肽、QRS波时限、QTc间期的下降更为明显(均P〈0.05);两组各时间点血浆脑钠肽、QRS波时限、QTc间期的下降率组间差异均有统计学意义(均P〈0.05)。结论多时点的血浆脑钠肽水平、QRS波时限和QTc间期改变对ALHF患者预后具有一定的临床预测价值。Objective To analyze the acute left heart failure(ALHF) plasma brain natriuretic peptide levels and ECG characteristics, and to explore its evaluation of the ALHF prognosis. Methods To detect the content of rain natriuretic peptid in the plasma of acute attack of 76 cases ALHF patients after 6h,24h,72h,while the line ECG mo- nitoring. The decline rate of brain natriuretic peptide, the QRS wave duration and QTc interval were calculated. Ac- cording to the condition of ALHF patients discharged into prognosis ideal group and the poor prognosis group, the variation of the index in the two group were retrospectivly analyzed. Results Compared with the decline rate in 24h, the decline rate of brain natriuretic peptide,the QRS wave duration and QTc interval decreased significantly. Two groups at each time point plasma brain natriuretic peptide, the QRS wave duration, the rate of decline of QTc between groups were statistically different ( all P 〈 0.05 ). Conclusion The time points of plasma brain natriuretic peptide content, the QRS wave duration and the QTc interval change rate of ALHF the prognosis of patients with clinical predictive value.

关 键 词:心力衰竭 充血性 脑钠肽 心电图 

分 类 号:R541[医药卫生—心血管疾病]

 

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