肌钙蛋白对早产儿心肌损害的诊断意义分析  

Diagnosis Significance of Cardiac Troponin in Premature Infants with Myocardial Damage

作　　者：宁亚灵[1] 胡正权[1] 宋玉玲[1] 张海红 成佳文 

机构地区：[1]河北省第七人民医院新生儿科,定州073000 [2]定州市花张蒙医院妇产科,定州073000

出　　处：《中国医药导刊》2015年第11期1091-1092,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨肌钙蛋白对早产儿心肌损害的诊断意义和价值。方法:76例有新生儿窒息的早产儿分为轻度窒息组(A组,53例)和重度窒息组(B组,23例),进行肌钙蛋白,心肌酶检测并分析窒息早产儿发生心肌损害的比例,及不同窒息早产儿心肌酶和c Tn I检查的阳性率。结果:76例患儿中33例发生心肌损害,占43.4%,肌酶阳性率,A组为66.0%,B组为95.7%;c Tn I阳性率,A组为54.7%,B组为82.6%。结论:新生儿特别是早产儿的心肌损害的早期诊断十分重要,c Tn I具有的较高敏感性和特异性,与其他标志物进行联合检测具有诊断意义。Objective： To investigate the diagnostic value and significance of troponin in the diagnosis of myocardial injury in premature infants. Methods： Cardiac troponin was measured in 76 premature infants with neonatal asphyxia, and the proportion of myocardial damage in premature infants was analyzed and the positive rate of myocardial enzymes and c Tn I in premature infants was analyzed. Results：76 cases of children, 33 cases of myocardial damage, accounting for 43.4%, of which the positive rate was 66%（35/53）, severe asphyxia group, the positive rate was 95.7%（22/23）; mild asphyxia group, c Tn I positive rate was 54.7%（29/53）, the c Tn I positive rate was 82.6%（19/23）. Conclusion： The early diagnosis of myocardial damage in neonates, especially premature infants, is very important, and the c Tn I has a higher sensitivity and specificity, and it has a diagnostic value for the detection of other markers.

关 键 词：肌钙蛋白 早产儿 心肌损害 

分 类 号：R722.6[医药卫生—儿科]