首页|脑钠肽与尿微量白蛋白/肌酐比值联合检测在心力衰竭诊断中应用研究

脑钠肽与尿微量白蛋白/肌酐比值联合检测在心力衰竭诊断中应用研究

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目的 分析脑钠肽(BNP)与尿微量白蛋白/肌酐比值(UACR)联合检测诊断心力衰竭的效能.方法 将 74 例心力衰竭患者纳入观察组,另将同期行体检的 68 例健康人群纳入对照组,采集两组静脉血,检测对比其BNP、UACR的差异;另绘制受试者工作曲线(ROC),分析BNP、UACR两者联合诊断心力衰竭的效能.结果 观察组BNP为(145.79±8.67)pg/mL、UACR为(36.89±4.47)mg/g,高于对照组的(76.21±6.05)pg/mL、(24.53±2.21)mg/g,差异有统计学意义(P<0.05);ROC结果显示:BNP、UACR两者联合检测的曲线下面积(AUC)为 0.914(95%CI:0.864~0.965),高于两者单独检测的 0.870(95%CI:0.807~0.932)、0.820(95%CI:0.743~0.897).结论 心力衰竭患者机体内BNP、UACR呈异常高表达状态,两者联合可有效诊断出心力衰竭,临床应用价值较高,可进行大力推行.
Application of Combined Detection of Brain Natriuretic Peptide and Urinary Microalbumin/Creatinine Ratio in the Diagnosis of Heart Failure
Objective To analyze the efficacy of combined detection of brain natriuretic peptide(BNP)and urinary mi-croalbumin/creatinine ratio(UACR)in the diagnosis of heart failure.Method A retrospective analysis was conducted on 74 patients with heart failure who were included in the observation group.Additionally,68 healthy individuals who underwent physical examinations at our hospital during the same period were included in the control group.Venous blood was collected from the two groups,and the differences in BNP and UACR were measured and compared;Draw a receiver operating curve(ROC)to analyze the efficacy of combining BNP and UACR in diagnosing heart failure.The results showed that the BNP and UACR of the observation group were(145.79±8.67)pg/mL and(36.89±4.47)mg/g,which were higher than those of the control group(76.21±6.05)pg/mL and(24.53±2.21)mg/g,with a statistical difference(P<0.05);The ROC results showed that the area under the curve(AUC)of the combined detection of BNP and UACR was 0.914(95%CI:0.864~0.965),which was higher than the 0.870(95%CI:0.807~0.932)and 0.820(95%CI:0.743~0.897)detected by the two alone.Conclusion BNP and UACR are abnormally high expressed in the body of patients with heart failure.The combination of the two can effectively diagnose heart failure and has high clinical application value,which can be vigorously promoted.

Heart failureBrain natriuretic peptideUrinary microalbuminCreatinineDiagnostic effectivenessArea un-der curve

黄祖峰、李铎、翟雪艳

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郑州市第九人民医院检验科,河南 郑州 450000

心力衰竭 脑钠肽 尿微量白蛋白 肌酐 诊断效能 曲线下面积

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(2)
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