急诊检测N末端B型脑钠肽前体指导抢救老年呼吸困难患者146例分析  

Analysis of NT-proBNP detection guided treatment of elderly patients with dyspnea （ affiliated 146 cases）

作　　者：洪德瑞[1] 

机构地区：[1]淮南市第一人民医院急诊科,安徽省淮南232007

出　　处：《中国基层医药》2014年第14期2107-2109,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨快速测定N末端B型脑钠肽前体（NT-proBNP）在急诊老年呼吸困难患者中的临床应用价值。方法回顾性分析2012年1月至2013年12月以呼吸困难为主诉急诊入院的146例患者（年龄≥60岁），2012年度患者为常规治疗组；2013年度患者为NT-proBNP测定结果指导下治疗组；按照NT-proBNP临床参考标准和测定结果来评价呼吸困难的性质从而指导抢救，对两组患者抢救成功率进行分析比较。结果2012年度抢救67例（显效15例、有效37例、无效11例、死亡4例），2013年度抢救79例（显效27例、有效44例、无效6例、死亡2例）。2013年度以NT-proBNP水平指导下抢救的呼吸困难老年患者的抢救成功率（89．87％）明显高于2012年度常规治疗组（77．61％）（x^2=4．11，P〈0．05）。结论急诊快速测定NT—proBNP水平指导抢救老年呼吸困难患者具有较高的临床应用价值。Objective To explore the clinical value of N-terminal pro-brain natriuretic peptide （NT-proBNP） in elderly patients with acute dyspnea. Methods Retrospective analysis of 146 cases of patients with emergency admissions of patients （age ≥ 60 years）with dyspnea from January 2012 - December 2013, patients in 2012 with conventional treatment group; patients in 2013 were under the guidance of NT-proBNP treatment group; properties according to the test results of the NT-proBNP clinical reference standard and NT-proBNP to the evaluation of dyspnea and guide rescue, rescue success rate of patients in 2 groups were analyzed and compared. Results 67 cases （ 15 cases were markedly effective,37 cases were effective,ll cases were invalid,4 cases of death） were rescued in 2012, 79 cases （27 cases were markedly effective,44 cases were effective,6 cases were invalid,2 cases of death） were rescued in 2013. Elderly patients with Dyspnea under the guidance of emergency NT-proBNP levels in 2013 （89.87%） , the rescue success rate was higher than that in the 2012 traditional treatment group （77.61%） （x^2 = 4. 11, P 〈 0. 05 ）. Conclusion Rapid determination of NT-proBNP level of elderly patients with dyspnea has high clinical value in emergency rescue.

关 键 词：呼吸困难 N末端B型脑钠肽前体 老年人 

分 类 号：R563.8[医药卫生—呼吸系统]