急性呼吸困难患者床边即时脑利钠肽检测的应用价值研究  

Study on the Application Value of Bedside Detection of Brain Natriuretic Peptide in Patients with Acute Respiratory Difficulties

作　　者：胡献礼[1] 刘超侠[2] Hu Xian-li;Liu Chao-xia(Dept of Emergency,Central People’s Hospital of Xuzhou City,Xuzhou 221009,China;T&R Dept of Pathophysiology,Xuzhou Medical University,Xuzhou 221000, China)

机构地区：[1]江苏省徐州市中心医院急诊科,徐州221009 [2]江苏省徐州医学院病理生理学教研室,徐州221000

出　　处：《中国医药导刊》2016年第9期871-872,共2页Chinese Journal of Medicinal Guide

基　　金：江苏省科技基金资助项目(项目编号:03KJB31423764);课题名称:脑利钠肽检测的应用价值研究

摘　　要：目的：探讨剖析急性呼吸困难患者床边即时脑利钠肽检测的应用价值。方法：抽取60例急性呼吸困难患者纳入本文研究，病例到院就诊时间2013年6月～2015年8月，应用荧光免疫法对患者血浆脑利钠肽进行检测，同时实施超声心动图检查等，对比不同类型的呼吸困难患者脑利钠肽水平。结果：和肺源性呼吸困难患者相比，心源性呼吸困难患者脑利钠肽水平高（P＜0.05）。经分析，心源性呼吸困难患者血浆脑利钠肽和左室舒张末期内径之间为正相关，和左室射血分数为负相关。结论：经床边即时脑利钠肽检测可对急性呼吸困难进行较为合理地鉴别诊断。Objective: Analysis on the application value of patients with acute dyspnea bedside detection of brain natriureticpeptide.Methods:The selected 60 cases of patients with acute dyspnea were included in this study.Patients to the hospital timeJune 2013 and 2015 August,using immunofluorescence method on plasma brain natriuretic peptide were detected,while theimplementation of echocardiography and contrast of different types of dyspnea in patients with cerebral natriuretic peptide levels.Results:Compared with patients with pulmonary dyspnea,cardiogenic dyspnea in patients with brain natriuretic peptide level(P<0.05).By the analysis of cardiac dyspnea patients with plasma brain natriuretic peptide and left ventricular end diastolicdiameter of positive correlation between,and left ventricular ejection fraction was negatively correlated.Conclusion:The bedsidedetection of brain natriuretic peptide can reasonably differential diagnosis of acute dyspnea.

关 键 词：床边即时 急性呼吸困难 脑利钠肽 

分 类 号：R563.8[医药卫生—呼吸系统]