| 氨基末端B型利钠肽前体联合血红蛋白对充血性心力衰竭患者病情的评估价值 |
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| 引用本文： | 向凝. 氨基末端B型利钠肽前体联合血红蛋白对充血性心力衰竭患者病情的评估价值[J]. 中国全科医学, 2011, 14(5) |
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| 作者姓名： | 向凝 |
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| 作者单位： | 贵阳医学院附属医院心血管内科,贵州省贵阳市,550004 |
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| 摘 要： | 目的评价氨基末端B型利钠肽前体(NT-proBNP)联合血红蛋白(Hb)测定对充血性心力衰竭(CHF)患者病情的评估价值。方法测定107例CHF住院患者入院时的NT-proBNP、Hb水平等指标,对患者进行心功能分级,观察其住院期间心脏不良事件的发生情况。结果贫血患者的NT-proBNP、Hb水平与无贫血患者比较,差异有统计学意义(P<0.05);NYHA分级不同,患者的NT-proBNP、Hb水平比较,差异有统计学意义(P<0.01)。贫血且NT-proBNP≥中位数的患者,中重度心力衰竭发生率(100.0%)及住院期间心脏不良事件发生率(52.9%)显著高于单独贫血患者(70.6%和23.7%)及NT-proBNP≥中位数患者(70.9%和20.0%),差异有统计学意义(P<0.05)。结论联合检测NT-proBNP及Hb可以更全面地评估CHF患者的病情和预测住院期间心脏不良事件的发生。
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| 关 键 词： | 氨基末端B型利钠肽前体 血红蛋白 心力衰竭 预后 |
Clinical Value of Combined Detection of NT-proBNP and Hemoglobin in Patients with Congestive Heart Failture |
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| XIANG Ning. Clinical Value of Combined Detection of NT-proBNP and Hemoglobin in Patients with Congestive Heart Failture[J]. Chinese General Practice, 2011, 14(5) |
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| Authors: | XIANG Ning |
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| Affiliation: | XIANG Ning.Department of Cardiology,the Affiliated Hospital of Guiyang Medical College,Guiyang 550004,China |
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| Abstract: | Objective To evaluate the value of combined detection of N-Terminal ptro-brain natriuretic peptide(NT-proBNP)and hemoglobin(Hb) in patients with congestive heart failture.Methods The level of plasma NT-proBNP and Hb of 107 patients with congestive heart failture was measured when they were admitted.The NYHA heart function was assessed and the incidence of adverse cardic events was observed during the period of in-hospital.Results The level of NT-proBNP and Hb in patients with anemia had statistical differen... |
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| Keywords: | NT-proBNP Hemoglobin Congestive heart failure Prognosis |
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