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血浆脑钠素和心钠素对2型糖尿病舒张性心功能不鹊恼锒弦庖邋
引用本文:陈一天,江时森,许瑞吉,黄承.血浆脑钠素和心钠素对2型糖尿病舒张性心功能不鹊恼锒弦庖邋[J].中华内分泌代谢杂志,2005,21(5):455-456.
作者姓名:陈一天  江时森  许瑞吉  黄承
作者单位:南京军区南京总医院心血管内科 210002(陈一天,江时森),南京军区南京总医院核医学科 210002(许瑞吉),南京军区南京总医院超声诊断科 210002(黄承)
摘    要:采用固相免疫放射分析方法测定47例心脏舒张功能障碍(DHF)的2型糖尿病(DM)患者血浆脑钠素(BNP)和心钠素(ANP)浓度,并与DM心功能正常组(24例)及正常对照组(12名)进行对比分析。结果显示血浆BNP、ANP水平随着DHF程度加重而逐渐升高,而且E/A比值与BNP(r=-0.669,P<0.01)和ANP(r=-0.579,P<0.01)均呈显著负相关,提示血浆ANP、BNP是诊断2型DM心脏舒张功能不全的良好生化指标。

关 键 词:糖尿病  2型  利钠肽  脑(脑钠素)  心钠素  舒张性心力衰竭
收稿时间:2004-03-17
修稿时间:2004年3月17日

The diagnostic value of plasma BNP and ANP in patients with type 2 diabetes mellitus and diastolic heart failure
CHEN Yi-tian , JIANG Shi-sen, XU Rui-ji, HUANG Cheng..The diagnostic value of plasma BNP and ANP in patients with type 2 diabetes mellitus and diastolic heart failure[J].Chinese Journal of Endocrinology and Metabolism,2005,21(5):455-456.
Authors:CHEN Yi-tian  JIANG Shi-sen  XU Rui-ji  HUANG Cheng
Institution:Department of Cardiovascular Diseases, General Hospital of Nanjing Military Region, Nanjing 210002
Abstract:Twelve healthysubjects and 71 diabetic patients, including 47 cases with diastolic heart failure (DHF), were enrolled into the study. Plasma atrial natiuretic peptide (ANP) and brain natriuretic peptide (BNP) were measured with immunoradiometric assay. The result showed that the plasma levels of ANP and BNP were significantly increased in accordance withthe severity of DHF. The ratio of E/A had significantly negative correlation with the plasma levels of BNP(r=-0.669,P<0.01) and ANP(r=-0.579, P<0.01). The plasma levels of ANP and BNP seem to be valuable laboratory markers for differential diagnosis of DHF in diabetic patients.
Keywords:Diabetes mellitus  type 2  Natriuretic peptide  brain  Atrial natriuretic factor  Diastolic heart failure
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