首页|血清CK-MB、NT-proBNP、PCT及CRP水平对婴幼儿川崎病诊断价值

血清CK-MB、NT-proBNP、PCT及CRP水平对婴幼儿川崎病诊断价值

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目的 研究血清肌酸激酶同工酶(CK-MB)、氨基末端脑钠肽前体(NT-proBNP)、降钙素原(PCT)、C反应蛋白(CRP)联合检测在婴幼儿川崎病诊断中的应用价值。方法 选取2021年1月至2022年12月郑州人民医院收治的96例婴幼儿川崎病患儿纳入川崎病组,纳入同期体检的50例健康婴幼儿作为对照组,根据冠状动脉病变(CAL)发生与否将96例婴幼儿川崎病患儿分为CAL发生组、CAL未发生组。检测血清CK-MB、NT-proBNP、PCT、CRP水平,分析血清CK-MB、NT-proBNP、PCT、CRP对婴幼儿川崎病及婴幼儿川崎病患儿CAL发生的诊断价值。结果 ROC曲线结果显示,血清CK-MB、NT-proBNP、PCT、CRP及联合检测诊断婴幼儿川崎病的AUC分别为0。766、0。722、0。726、0。767、0。823,均有一定诊断价值,诊断婴幼儿川崎病患儿CAL的AUC分别为0。821、0。830、0。838、0。887、0。912,均有一定诊断价值。结论 血清CK-MB、NT-proBNP、PCT、CRP联合检测在婴幼儿川崎病诊断中具有较高应用价值。
Application of Combined Detection of Serum CK-MB,NT-proBNP,PCT,and CRP in the Diagnosis of Kawasaki Disease in Infants and Young Children
Objective To study the application value of combined detection of serum creatine kinase isoenzyme(CK-MB),N-terminal proBNP precursor,procalcitonin(PCT),and C-reactive protein(CRP)in the diagnosis of Kawasaki disease in infants and young children.Methods 96 infants and young children with Kawasaki disease admitted to Zhengzhou People's Hospital from January 2021 to December 2022 were selected and included in the Kawasaki disease group.50 healthy infants and young children who underwent physical examination at the same time were included as the control group.96 infants and young children with Kawasaki disease were divided into a CAL group and a CAL group based on the occurrence of coronary artery disease(CAL).Detect the levels of serum CK-MB,NT proBNP,PCT,and CRP,and analyze the diagnostic value of serum CK-MB,NT proBNP,PCT,and CRP for the occurrence of CAL in infants and young children with Kawasaki disease.Results The ROC curve results showed that the AUC values of serum CK-MB,NT-proBNP,PCT,CRP,and combined detection for diagnosing Kawasaki disease in infants and young children were 0.766,0.722,0.726,0.767,and 0.823,respectively,which have certain diagnostic value.The AUC values for diagnosing CAL in infants and young children with Kawasaki disease were 0.821,0.830,0.838,0.887,and 0.912,respectively,which have certain diagnostic value.Conclusion The combined detection of serum CK-MB,NT proBNP,PCT,and CRP has high application value in the diagnosis of Kawasaki disease in infants and young children.

Kawasaki DiseaseCoronary Artery DiseaseCreatine Kinase IsoenzymeAmino Terminal Brain Natriuretic Peptide PrecursorProcalcitoninC-reactive Protein

张袁丹

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郑州人民医院输血科(河南郑州 450000)

川崎病 冠状动脉病变 肌酸激酶同工酶 氨基末端脑钠肽前体 降钙素原 C反应蛋白

2025

罕少疾病杂志
深圳市卫生局

罕少疾病杂志

影响因子:0.583
ISSN:1009-3257
年,卷(期):2025.32(1)