急诊检验中心肌酶谱检测的临床意义  

Clinical Significance of Muscle Zymogram in Emergency Examination Center

作　　者：董立娜 白艳华 DONG Li'na;BAI Yanhua(Kangning Hospital of Retired Soldiers in Liaoning Province,Xingcheng 125100,China;Karaqin left-wing Mongolian Autonomous County traditional Chinese Medicine Hospital,Chaoyang 122300,China)

机构地区：[1]辽宁省复员军人康宁医院,辽宁兴城125100 [2]喀拉沁左翼蒙古族自治县中医院,辽宁朝阳122300

出　　处：《中国医药指南》2020年第35期115-116,共2页Guide of China Medicine

摘　　要：目的探讨心肌酶谱检验在急诊检验中的应用效果。方法本次研究选取喀拉沁左翼蒙古族自治县中医院2018年4月至2019年4月收治的急诊患者90例为对象,其中脑外伤40例(脑外伤组),急性心肌梗死50例(急性心肌梗死组),另选取同期于辽宁省复员军人康宁医院体检的健康人50名设为对照组,检测、比较3组心肌酶谱相关指标水平。结果3组肌酸激酶(CK)、乳酸脱氢酶(LDH)、天冬氨酸氨基转移酶(AST)、肌酸激酶同工酶(CK-MB)及α-羟丁酸脱氢酶(α-HBD)水平比较有显著性差异(P<0.05);治疗后上述指标水平与治疗前相比有显著性差异(P<0.05)。结论在急诊检验中检测心肌酶谱可准确判断患者心肌损伤情况,有利于改善预后,将病死率降低。Objective To investigate the effect of myocardial zymogram in emergency examination.Methods From April 2018 to April 2019,90 emergency patients,including 40 patients with brain trauma and 50 patients with acute myocardial infarction,were selected as control group,and 50 healthy people who were examined in Kangning Hospital of Retired Soldiers in Liaoning Province at the same time were selected as control group.The levels of myocardial zymogram were measured and compared among the three groups.Results There were significant differences in the levels of CK,CK-MB,AST,LDH andα-HBD among the three groups,and the above indexes after treatment were significantly different.There was significant difference between before treatment and before treatment(P<0.05).Conclusion The detection of myocardial zymogram in emergency examination can accurately judge the myocardial injury,which is beneficial to improve the prognosis and reduce the mortality.

关 键 词：脑外伤 急性心肌梗死 急诊检验 心肌酶谱检测 临床意义 

分 类 号：R54222[医药卫生—心血管疾病] R446.1[医药卫生—内科学]