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血浆脑利钠肽检测对COPD合并慢性肺源性心脏病的诊断意义
引用本文:肖靖华,王海娥,付志萍,唐月嫦.血浆脑利钠肽检测对COPD合并慢性肺源性心脏病的诊断意义[J].临床肺科杂志,2013,18(6):1056-1057.
作者姓名:肖靖华  王海娥  付志萍  唐月嫦
作者单位:肖靖华 (清远,清远市人民医院,广东,511500);王海娥 (清远,清远市人民医院,广东,511500); 付志萍 (清远,清远市人民医院,广东,511500); 唐月嫦 (清远,清远市人民医院,广东,511500);
摘    要:目的探讨脑利钠肽(BNP)在不同阶段COPD合并慢性肺源性心脏病中的诊断意义。方法测定单纯COPD组(A组)、COPD合并肺心病急性加重期组(B组),COPD合并肺心病缓解期组(C组)各40例,检测各组血浆BNP水平,并对三组进行相关分析;结果 BNP值在B组高于C组,高于A组,且两两之间差异都有统计学意义。结论 BNP在区分COPD是否合并肺心病及判定肺心病发病时期具有一定的临床意义。

关 键 词:脑利钠肽  慢性阻塞性肺疾病  慢性肺源性心脏病  ROC曲线

Diagnostic significance of serum BNP test in the determination of different stages of COPD patients complicated with pulmonary heart disease
XIAO Jing-hua,WANG Hai-er,FU Zhi-ping,TANG Yue-chang.Diagnostic significance of serum BNP test in the determination of different stages of COPD patients complicated with pulmonary heart disease[J].Journal of Clinical Pulmonary Medicine,2013,18(6):1056-1057.
Authors:XIAO Jing-hua  WANG Hai-er  FU Zhi-ping  TANG Yue-chang
Institution:Qinyuan People's Host- pital, Qingyuan, Guangzhou 511500, China
Abstract:Objective To investigate the diagnostic significance of serum BNP test in the determination of different stages of COPD patients complicated with pulmonary heart disease. Methods 120 patients were evenly divided into 3 groups: the group A (COPD), the group B (COPD complicated with acute exacerbation of pulmonary heart disease), the group C (COPD complicated with cor pulmonale at remission stage). The level of serum BNP was examined and analyzed among the three groups. Results The level of se- rum BNP was the highest in the group B, and the difference among the three groups had statistical significance. Conclusion The level of BNP has a certain clinical significance in the determination of different stages of COPD patients complicated with pulmonary heart disease.
Keywords:BNP  chronic obstructive pulmonary disease  pulmonary heart disease  ROC curve
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