血浆NT-proBNP对心肌梗死发病部位及患者生存的影响

发布时间：2018-06-13 19:21

本文选题：血浆N端B型脑利钠肽前体 + 心肌梗死　；参考：《中国现代医学杂志》2017年29期

【摘要】：目的探究血浆N端B型脑利钠肽前体(NT-proBNP)对心肌梗死患者发病部位及生存状况的影响。方法回顾性分析2013年6月-2015年6月于阜阳市第二人民医院收治的96例心肌梗死患者的临床资料,并选取同期健康检查的30例患者作为对照组。分析血浆NT-proBNP水平与患者梗死部分及生存状况的关系。结果心肌梗死患者中发病率最高的部位依次为下壁梗死(39.58%),血浆NT-proBNP水平由低到高分别为下壁梗死、前间壁梗死、前侧壁梗死及前壁梗死,梗死面积由小到大分别为下壁梗死、前间壁梗死、前侧壁梗死及前壁梗死;出院后1、12个月心肌梗死再发、心力衰竭和死亡患者的血浆NT-proBNP水平高于未发生患者(P0.05)。结论前壁梗死的心肌梗死患者血浆NT-proBNP水平最高,且血浆NTproBNP水平越高,心肌梗死面积越大,生存率越低。
[Abstract]:Objective to investigate the effect of NT-proBNPs on the location and survival status of patients with myocardial infarction. Methods the clinical data of 96 patients with myocardial infarction admitted to Fuyang second people's Hospital from June 2013 to June 2015 were analyzed retrospectively and 30 patients who were examined in the same period were selected as control group. To analyze the relationship between plasma NT-proBNP level and infarct part and survival status. Results the highest incidence of NT-proBNP was found in the inferior wall infarction (39.58). The plasma NT-proBNP levels were respectively inferior wall infarction, anterior interwall infarction, anterior lateral wall infarction and anterior wall infarction, and the infarct size was from small to large. The level of NT-proBNP in patients with heart failure and death was higher than that in patients without heart failure (P 0.05). Conclusion the plasma NT-proBNP level is the highest in patients with anterior wall infarction, and the higher the plasma NTproBNP level is, the larger the area of myocardial infarction is and the lower the survival rate is.
【作者单位】：安徽省阜阳市第二人民医院心血管内科;
【分类号】：R542.22

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