血浆B型钠尿肽检测在急诊呼吸困难患者的临床诊断及治疗中的价值  

The Value of Plasma B-type Natriuretic Peptide Detection in the Clinical Diagnosis and Treatment of Patients with Emergency Dyspnea

作　　者：李海峰[1] LI Hai-feng(Department of Emergency and Intensive Care,Yancheng Third People's Hospital,Yancheng,Jiangsu Province,224000 China)

机构地区：[1]盐城市第三人民医院急诊重症科,江苏盐城224000

出　　处：《中外医疗》2020年第35期11-13,共3页China & Foreign Medical Treatment

摘　　要：目的观察急性呼吸困难患者接受血浆B型钠尿肽(BNP)检测的临床诊断价值与治疗价值。方法方便收集该院急诊科室在2015年1月—2020年6月接诊的88例急性呼吸困难患者,根据单双号法随机分成对照组(44例)与观察组(44例),分别接受常规检测与血浆B型钠尿肽检测。对比检测结果。结果从检测结果看,观察组呈心源性结果患者40例(90.9%),呈无心源性结果患者4例(9.1%),相比于对照组,差异有统计学意义(χ^2=3.938,P<0.05)。观察组血浆B型钠尿肽(88.64±21.73)ng/L、肺动脉压(33.75±5.23)mmHg,均较对照组低,差异有统计学意义(t=6.788、13.910,P<0.05)。观察组检测有效、一般患者43例,检测总有效率97.7%,较对照组高,差异有统计学意义(χ^2=4.456,P<0.05)。结论急诊呼吸困难患者应用血浆B型钠尿肽检测,病情诊断效果佳,可为临床治疗提供便利。Objective To observe the clinical diagnostic value and therapeutic value of plasma B-type natriuretic peptide(BNP)detection in patients with acute dyspnea.Methods The 88 cases of acute dyspnea patients received in the emergency department of the hospital from January 2015 to June 2020 were conveniently selected and randomly divided into a control group(44 cases)and an observation group(44 cases)according to the odd and even number method.Routine testing and plasma B-type natriuretic peptide testing were respectively adopted.Compared test results.Results From the test results,40 cases(90.9%)patients in the observation group showed cardiogenic results,and 4 cases(9.1%)patients showed not cardiogenic results.Compared with the control group,the difference was statistically significant(χ^2=3.938,P<0.05).Plasma B-type natriuretic peptide(88.64±21.73)ng/L and pulmonary artery pressure(33.75±5.23)mmHg in the observation group were lower than those in the control group,the difference was statistically significant(t=6.788,13.910,P<0.05).In the observation group,43 cases of general patients were effective,and the total effective rate was 97.7%,which was higher than that of the control group,the difference was statistically significant(χ^2=4.456,P<0.05).Conclusion The use of plasma B-type natriuretic peptide detection in emergency dyspnea patients has a good diagnosis effect and can provide convenience for clinical treatment.

关 键 词：急性呼吸困难 血浆B型钠尿肽 临床诊断 治疗 价值 

分 类 号：R4[医药卫生—临床医学]