N末端脑钠肽在急性心肌梗死中的应用
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Application of Serum NT-proBNP for The Diagnosis of Acute Myocardial Infarction
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    摘 要 目的 评价N末端脑钠肽(NT-proBNP)在急性心肌梗死(AMI)发生后的应用价值。方法 采用双向侧流免疫法测定AMI患者入院后24h、48h内NT-proBNP的血清水平。结果 AMI患者入院后24h、48h血清NT-proBNP水平高于对照组(968.4±38.93pg/ml,1023.5±205.3pg/ml;VS <250。P<0.01)。高水平的NT-proBNP AMI患者(1720.5±650.7pg/ml)发生主要心脏不良事件(MACE)的危险性高于低水平(350.6±78.5pg/ml)的AMI患者(P<0.05)。结论 AMI患者血清具有较高的NT-proBNP水平,其浓度的高低对AMI的治疗、危险分层和预后具有重要的意义。

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    Abstract:Objective To investigate the value of NT-proBNP in the acute myo- cardial infarction(AMI).Method The serum concentration of NT-proBNP in patients with AMI were measured within 24h and 48h after admission by cross immunoelectrophoresis methods. Results Serum NT-proBNP concentration in patients with AM1 within 24h and 48h after admission was significantly higher than that in healthy subjects (968.4±38.93pg/ml,1023.5±205.3pg/ml;VS <250.P<0.01)。The higher serum levels of NT-proBNP in AMI patients (1720.5±650.7pg/ml) with main adverse cardiac events(MACE) was significantly higher than that the lower levels of NT-proBNP in AMI patients(350.6±78.5pg/ml)(p<0.05) Conclusion Serum NT-proBNP concentration in patients with AMI has higher levels. Study of the concentration of Serum NT-proBNP is important in the diagnosis, treatment and prognosis of AMI.

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熊大迁;. N末端脑钠肽在急性心肌梗死中的应用[J].检验医学与临床,2011,(04):

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