中国社区医师Issue(31)：87-87,90,2.DOI:10.3969/j.issn.1007-614x.2015.31.54
床旁检测B型钠尿肽在鉴别急性呼吸困难中的诊断价值
Diagnostic value of bedside testing b-type natriuretic peptide in the differential diagnosis of acute dyspnea
摘要
Abstract
Objective:To explore the diagnostic value of bedside testing b-type natriuretic peptide in the differential diagnosis of acute dyspnea.Methods:150 patients with dyspnea were divided into pulmonary dyspnea with 60 cases and cardiac dyspnea with 90 cases.All patients were carried out by bedside testing BNP.Results:BNP was (820.2±450.2)pg/mL,LVEF was (10±43)% in the cardiac dyspnea group.BNP was (212.3±175.3)pg/Ml,LVEF was (60±8)% in the pulmonary dyspnea.The differences of two groups were statistically significant(P<0.05).BNP was (410.2 ± 189.2)pg/mL,LVEF was (53 ± 6)% in the cardiac functional grading Ⅱgrade.BNP was (860.2±289.2)pg/mL,LVEF was (41±10)% of Ⅲ grade.BNP was (1162.3±465.3)pg/mL,LVEF was (36±8)% of Ⅳ grade.BNP was positively correlated with cardiac functional grading,and LVEF was negatively correlated with cardiac functional grading.Conclusion:BNP detection has the characteristics of rapid,high sensitivity,high specificity.It is an important indicator for the differential diagnosis of cardiac dyspnea and pulmonary dyspnea.关键词
B型钠尿肽/心源性呼吸困难/肺源性呼吸困难Key words
B-type natriuretic peptide/Cardiac dyspnea/Pulmonary dyspnea引用本文复制引用
白岩松,夏家冬..床旁检测B型钠尿肽在鉴别急性呼吸困难中的诊断价值[J].中国社区医师,2015,(31):87-87,90,2.
