首页|冠心病患者超敏C反应蛋白及N端B型脑钠肽前体水平变化及临床意义

冠心病患者超敏C反应蛋白及N端B型脑钠肽前体水平变化及临床意义

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目的 检测冠心病患者N末端B型脑钠肽前体(N-terminal pro-brain natriuretic peptide.NT-proBNP)及超敏CRP( high-sensitivity C-reactive protein,hs-CRP)水平的改变并探讨其临床意义.方法 选取明确诊断的冠心病患者120例,健康对照50例.NT-proBNP检测使用电化学发光法,hs-CRP检测使用速率散射比浊法.结果 冠心病患者组血清hs-CRP中位数为5.76(3.65~18.89) mg/L,异常率为35.9%,健康对照组血清hs-CRP中位数为2.82(0.29~11.6)mg/L,异常率为11.2%.两组比较,差异有统计学意义(P<0.01).冠心病患者按照NYHA心功能分级,Ⅱ、Ⅲ、Ⅳ级血清NT-proBNP分别为1 260(380~1 560) Pg/ml、2 250(890~3 690) Pg/ml和4 120(2 990~7 800)Pg/ml.均显著高于健康对照组NT-proBNP 189( 51~966) Pg/ml.结论 血清hs-CRP和NT-proBNP水平均随着冠心病严重程度的加重而升高,二者的检测对于了解心功能状态具有重要临床意义.
Levels change and its clinical significance of high sensitivity C reactive protein and N terminal pro-brain natriuretic peptide of patients with coronary heart disease
Objective To detect the changes of N-terminal pro-brain natriuretic peptide(NT-proBNP)and high sensitivity C reactive proteinf hs-CRP) levels of patients with coronary heart disease and discuss its clinical significance. Methods We measured the serum levels of NT-proBNP and of hs-CRP from 120 cases of coronary artery disease, and 50 healthy controls. Analytical Performance Evaluation of The ROCHE E170 MODULAR 1MMUNOASS ANALYZER was used to detect NT-proBNP levels and Rate nephelometry immunoassay for hs-CRP measurement. Re-salts The median of hs-CRP in patients' serum with coronary heart disease was 5. 76(3. 65~18. 89)mg/L,abnormal rate of 35. 9% ,the median of hs-CRP in serum of healthy control group was 2. 82(0. 29 ~11. 6 )mg/L,abnormality rate was 11. 2% ,the two groups had significant difference(P<0. 01). NT-proBNP of coronary heart disease according to NYHA class, Ⅱ , Ⅲ ,Ⅳ level of serum were 1 260(380~1 560)Pg/ml,2 250(890~3 690)Pg/ml and 4 120(2 990~7 800)Pg/ml,Which were significantly higher than healthy controls NT-proBNP189(51~966)Pg/ml. Conclusion hs-CRP and NT-proBNP levels in the serum are increased with the severity of coronary heart disease and increased understanding for both the detection of cardiac function has important clinical significance.

Coronary Artery DiseasemetabolismC-Reactive ProteinAnalysisNatriuretic Peptide, BrainBlood

张光辉、李忠信、杨义明、张瑞霞、蒲荣

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东莞康华医院检验科,广东东莞523080

上海交大第九人民医院奉城分院检验科

东莞市寮步医院,广东东莞523400

冠状动脉疾病/代谢 C反应蛋白质/分析 利钠肽,脑/血液

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(15)
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