血浆B型钠尿肽与心脏肌钙蛋白T在非ST段抬高型急性冠状动脉综合征诊断及预后的评估价值  

Estimated value of plasma BNP and cTnT in diagnosis and prognosis of non-ST-segment elevation acute coronary syndrome

作　　者：兰世才 田维淮 

机构地区：[1]重庆市万盛经济开发区人民医院内二科,400800

出　　处：《重庆医学》2013年第9期1029-1030,1032,共3页Chongqing medicine

摘　　要：目的探讨血浆B型钠尿肽(BNP)与心脏肌钙蛋白T(cTnT)在非ST段抬高型急性冠状动脉综合征(NSTE-ACS)诊断及预后评估价值。方法选择2004年1月至2012年1月该院收治的NSTE-ACS患者286例,BNP≥80pg/mL患者172例为A组,BNP<80pg/mL患者114例为B组,比较两组患者的临床资料。结果 A组入院即刻、6、12、24、48h的血清BNP、血浆cTnT水平高于B组(P<0.05)。结论在临床中结合cTnT和BNP水平检测,可应用于NSTE-ACS患者诊断和预后的判断。Objective To explore the diagnostic and prognostic value of plasma B-type natriuretic peptide（BNP） and cardiac troponin T（cTnT） in non-ST elevation acute coronary syndrome（NSTE-ACS）.Methods 286 patients with NSTE-ACS in this hospital from January 2004 to January 2011 were selected and divided into two groups,172 cases of plasma BNP≥80 pg/mL as the group A and 114 cases of plasma BNP80 pg/mL as the group B.The clinical data were compared between the two groups.Results Plasma BNP and serum cTnT immediately after admission,at 6,12,24,48 h in the group A were higher than those in the group B（P0.05）.Conclusion Combined detection of plasma BNP and cTnT in clinic can be used to judge the diagnosis and prognosis of NSTE-ACS.

关 键 词：冠状动脉疾病 心肌肌钙蛋白T B型钠尿肽 

分 类 号：R541.4[医药卫生—心血管疾病]