首页|hs-CRP、cTnI、Myo及CK-MB检测在急性心肌梗死诊断中的临床应用价值

hs-CRP、cTnI、Myo及CK-MB检测在急性心肌梗死诊断中的临床应用价值

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目的 探讨超敏C反应蛋白(Hypersensitive C-reactive Protein,hs-CRP)、肌钙蛋白(Cardiac Troponin I,cTnI)、肌红蛋白(Myoglobin,Myo)、肌酸激酶同工酶(Creatine Kinase Isoenzymes-MB,CK-MB)联合检测诊断急性心肌梗死的价值.方法 选取2020年2月—2023年5月苏州市吴中人民医院收治的75例急性心肌梗死者与75例健康体检者,设为观察组与对照组,比较两组hs-CRP、cTnI、Myo及CK-MB水平,分析联合检测与心梗三项及hs-CRP检测的诊断效能.结果 观察组hs-CRP、cTnI、Myo、CK-MB均高于对照组,差异有统计学意义(P均<0.05).联合检测诊断准确度97.33%、灵敏度98.67%,高于心梗三项的92.00%、86.67%与hs-CRP的89.33%、80.00%,差异有统计学意义(x2=6.125、7.111,12.000、14.000,P均<0.05).结论 急性心肌梗死患者hs-CRP与心梗三项检测值明显升高,联合检测能提高对急性心肌梗死的诊断效能.
Clinical Value of Hs-CRP,CTnI,Myo and CK-MB in the Diagnosis of Acute Myocardial Infarction
Objective To investigate hypersensitive C-reactive protein(hs-CRP),cardiac troponin I(cTnI),myoglobin(Myo)and creatine kinase isoenzyme-MB(CK-MB)Value of combined detection in the diagnosis of acute myocardial infarction.Methods A total of 75 patients with acute myocardial infarction and 75 healthy subjects admitted to Wu-zhong People's Hospital of Suzhou City from February 2020 to May 2023 were selected as observation group and con-trol group.The levels of hs-CRP,cTnI,Myo and CK-MB were compared between the two groups,and the diagnostic efficacy of combined detection,myocardial infarction and hs-CRP detection was analyzed.Results hs-CRP,cTnI,Myo and CK-MB in observation group were higher than those in control group,and the differences were statistically significant(all P<0.05).The diagnostic accuracy and sensitivity of combined detection were 97.33%and 98.67%,which were higher than 92.00%and 86.67%for MI and 89.33%and 80.00%for hs-CRP,and the difference was sta-tistically significant(x2=6.125,7.111,12.000,14.000,all P<0.05).Conclusion Hs-CRP and MI were significantly in-creased in patients with acute myocardial infarction,and combined detection could improve the diagnostic efficiency of acute myocardial infarction.

Hs-CRPCTnIMyoCK-MBAcute myocardial infarctionDiagnostic efficiency

孙思、刘妍

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苏州市吴中人民医院检验科,江苏苏州 215128

超敏C反应蛋白 肌钙蛋白 肌红蛋白 肌酸激酶同工酶 急性心肌梗死 诊断效能

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(2)
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