hs-cTnT和NT-proBNP在急性心肌梗死患者预后中的价值研究附视频

被引：25

作者：

周莉莎

赵珍珍

李贵星

郭英

都向阳

黄俊

机构：

[1] 四川大学华西医院实验医学科

来源：

中国实验诊断学 | 2016年 / 11期

关键词：

hs-cTnT; NT-proBNP; 急性心肌梗死; 预后;

D O I：

暂无

中图分类号：

R542.22 []; R446.1 [生物化学检验、临床检验];

学科分类号：

1002 ; 100201 ; 100208 ;

摘要：

目的探索hs-cTnT和NT-proBNP在急性心肌梗死患者预后中的临床价值。方法纳入2013年1月至2014年12月共347例AMI患者为研究对象,按预后分为预后良好组(272例)和预后不良组(75例)。比较两组患者hs-cTnT和NT-proBNP水平,分析预后良好组和预后不良组入院及出院hs-cTnT和NT-proBNP水平差异。结果在预后不良组中出院hs-cTnT水平为3127.0(1638.0-6054.0)ng/L,高于入院hs-cTnT的1390.0(291.7-4189.0)ng/L(P<0.05);出院NT-proBNP水平为4817.0(2585.0-12010.0)pg/ml,高于入院NT-proBNP的1775.0(432.0-5431.0)pg/ml(P<0.05)。预后良好组入院和出院时hs-cTnT和NT-proBNP变化差异无统计学意义(P>0.05)。预后不良组出院hs-cTnT为3127.0(1638.0-6054.0)ng/L和出院NT-proBNP为4817.0(2585.0-12010.0)pg/ml,高于预后良好组出院hs-cTnT的1196.5(398.3-2787.0)ng/L和出院NT-proBNP的1329.0(567.8-2592.5)pg/ml,差异有统计学意义(P<0.05)。结论 AMI患者出院hs-cTnT和NT-proBNP比入院时增加预示患者预后不好。动态分析AMI患者hs-cTnT和NT-proBNP水平对患者预后判断有价值。

引用

页码：1859 / 1863

页数：5

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