血清NT—proBNP、hs—CRP、Hcy、D—二聚体联合检测对慢性心力衰竭临床意义
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【摘要】 目的:探討血清NT-proBNP、hs-CRP、Hcy、D-二聚体联合检测对慢性心力衰竭的临床意义。方法:选取2015年3月-2016年11月本院收治的慢性心力衰竭患者107例作为慢性心力衰竭(CHF)组,同期健康体检者60例为对照组,比较两组血清NT-proBNP、hs-CRP、Hcy、D-二聚体水平并分析其与慢性心力衰竭相关性。结果:CHF组患者血清NT-proBNP、hs-CRP、Hcy、D-二聚体水平均较对照组高,而左室射血分数(LVEF)较对照组低,差异均有统计学意义(P<0.001);随着心力衰竭患者NYHA心功能分级增加,血清NT-proBNP、hs-CRP、Hcy、D-二聚体水平也随着增加,而LVEF则随着NYHA心功能分级的增加而降低,各组间差异均有统计学意义(P<0.001);血清NT-proBNP、
hs-CRP、Hcy、D-二聚体水平与NYHA心功能分级呈正相关(r=0.847、0.765、0.723、0.651,P<0.05),与LVEF呈负相关(r=-0.782、-0.253、-0.674、-0.584,P<0.05)。结论:血清NT-proBNP、hs-CRP、Hcy、D-二聚体联合检测可为临床诊断慢性心力衰竭提供可靠的生化指标,同时各血清因子升高幅度与病情的严重程度一致,有利于临床通过检测患者血清对其病情程度作一定的了解。
【关键词】 慢性心力衰竭; 氨基末端B型钠尿肽前体; 超敏C反应蛋白; 同型半胱氨酸;
D-二聚体
Clinical Significance of Combined Detection of Serum NT-proBNP,hs-CRP,Hcy and D-dimer in Patients with Chronic Heart Failure/YU Xiao-yang,FENG Jie-xiong,HE Shou-fu.//Medical Innovation of China,2017,14(11):048-052
【Abstract】 Objective:To investigate the clinical significance of serum NT-proBNP,hs-CRP,Hcy,D-dimer in patients with chronic heart failure.Method:From March 2015 to November 2016 in our hospital,107 patients with chronic heart failure were taken as CHF group and 60 healthy volunteers were taken as the control group.serum NT-proBNP,hs-CRP,Hcy,D-dimer levels of the two groups were compared and its correlation with chronic heart f...
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