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不同NYHA分级慢性心力衰竭患者NT-proBNP的变化及意义
引用本文:孙晶,王玲. 不同NYHA分级慢性心力衰竭患者NT-proBNP的变化及意义[J]. 疾病监测与控制, 2011, 0(12): 716-718
作者姓名:孙晶  王玲
作者单位:内蒙古自治区医院心内科,内蒙古呼和浩特010017
摘    要:
目的探讨血浆NT-proBNP(氮端前体脑钠肽)浓度变化在慢性心衰患者中的意义。方法选择慢性心力衰竭患者65例,NYHA分级分为Ⅱ-Ⅳ级,正常对照组21例,测定NT-proBNP血浆浓度。结果各组间NT-proBNP差别有统计学意义(P〈0.01),NT-proBNP与NYHA分级呈正相关(r=0.509,P〈0.01),抗心衰治疗7天后,与入院时相比各心衰组NT-proBNP明显下降(P〈0.01)。结论监测NT-proBNP,对慢性心衰的诊断、严重程度的判断、疗效判定是一项快速简便的指标,值得广泛应用于临床心力衰竭患者。

关 键 词:氮端前体脑钠肽  心力衰竭  NYHA分级

The changes and significance of NT-proBNP inDifferent NYHA class patients with chronic heart failure
SUN Jing,WANG ling. The changes and significance of NT-proBNP inDifferent NYHA class patients with chronic heart failure[J]. , 2011, 0(12): 716-718
Authors:SUN Jing  WANG ling
Affiliation:(Inner Mongolia Autonomous Region Hospital,Hohhot 010017,China)
Abstract:
Objective Study the significance of plasma NT-proBNP changes in patients with chronic heart failure.Methods Select 65 cases with chronic heart failure,divided them intoⅡ-Ⅳclass by NYHA class,21 cases without heart failure were included as the control group.Determine their NT-proBNP plasma concentration.Results The differences of NT-proBNP in different group were significant(P0.01);NT-proBNP showed positive correlation with NYHA class(r = 0.509,P0.01);After 7days'Anti-heart failure therapy,compared to the admission the NT-proBNP in each NYHA class decreased significantly(P0.01).Conclusion Monitoring NT-proBNP is a quick and easy evaluation on diagnosing accuratly,judging the severity and determing the efficacy of chronic heart failure.It should widely used in clinical heart failure patients.
Keywords:NT-proBNP  heart failure  NYHA class
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