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冠心病患者血清C型钠尿肽的变化及其临床意义
引用本文:陈东海,季乃军,蓝翔,童丽军.冠心病患者血清C型钠尿肽的变化及其临床意义[J].放射免疫学杂志,2012,25(3):251-252.
作者姓名:陈东海  季乃军  蓝翔  童丽军
作者单位:温州医学院附属第六医院;浙江省丽水市人民医院心内科,323000
摘    要:目的:探讨冠心病(CHD)患者血清C型钠尿肽(CNP)的变化及临床意义。方法:采用放射免疫分析测定了116例CHD患者和40例正常对照组血清CNP水平,进行对照统计分析。结果:CHD组血清CNP水平显著地高于正常对照组(t=6.368,P<0.01),Ⅰ、Ⅱ、Ⅲ及Ⅳ级心功能组血清CNP水平显著高于好转出院组(t=8.452,P<0.01)。结论:CHD组血清CNP显著升高,并随心功能分级递增,死亡者增加更明显。

关 键 词:冠心病  C型钠尿肽  放射免疫分析

The Changes and Clinical Significance of C-type Natriuretic Peptide in Coronary Heart Disease
Institution:Chen Dong-hai,Ji Nai-jun,Lan Xiang(Department of Cardiology, The Sixth Affiliated Hospital of Wenzhou Medical College, Lishui Municipal Hospital, Zhejiang Province, Lishui( 32300 ), China)
Abstract:Objective To investigate the changes and clinical significance of C-type natriuretic peptide (CNP) in patients with coronary heart disease (CHD). Methods Assay the sreum CNP level in CHD (n = 116) and control (n =40) group with radioimmu- noassay respectively, then process the statistical analysis. Results The sreum CNP level of CHD group was significantly higher than that in control group (t =6.368, P 〈0.01 ) and the analysis of variance was found significant difference between CHD and control group (F = 16.74, P 〈 0.01 ). The serum CNP level increased gradually in NYHA class Ⅰ , Ⅱ, Ⅲ and Ⅳ groups. The serum CNP level in dead patients was apparently higher than discharged ones (t = 8. 452, P 〈 0.01 ). Conclusion the serum CNP level is significandy increased in CHD group and risen gradually in NYHA class, Ⅰ , Ⅱ, Ⅲ and Ⅳ group, futher more, it is especially increased in dead patients.
Keywords:coronary heart disease(CHD)  C-type natriuretic peptide(CNP)  radioimmunoassay(RIA)
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