血浆N末端原脑钠肽水平在心力衰竭患者诊断中的应用的研究THE STUDY OF N-TERMINA-PRO-BRAIN MATRIURETIC PERTIDE IN DIAGNOSIS OF HEART FAILURE
游陆;王宇辉;赵莹;
摘要(Abstract):
目的探讨N末端原脑钠肽(NT-proBNP)在心力衰竭患者诊断中的应用。方法选择慢性心力衰竭患者71例,以纽约心脏病心功能分级(NYHA分级)评定心功能,采取双抗体夹心酶联免疫法吸附(ELISA)法测定NT-proBNP水平,同时选择心功能I级的患者60例作为对照。结果Nt-proBNP水平在心力衰竭组(1612.9fmol/mL)明显高于对照组(430.2fmol/mL)且随心功能分级的增加,其水平增高(p<0.01)结论NT-proBNP水平在心力衰患者中明显升高,可做为诊断心衰的一项生化指标。
关键词(KeyWords): 心力衰竭;利钠肽;脑;诊断
基金项目(Foundation):
作者(Authors): 游陆;王宇辉;赵莹;
DOI: 10.13799/j.cnki.mdjyxyxb.2007.01.004
参考文献(References):
- 1 Abraham WT,Lowes BD.Ferguson DA.et al.Systemic hemodynam-ic,neurohoromonal,and renal effects of a steady-state infusion of hu-man brain natriuretic peptide in patients with hemodgnamically decom-pensated heart failure.J Card Fail,1998,4:37-44
- 2 赵丽,吴学思,韩志红,等.B型钠利尿肽检测对心力衰竭患者的临床评估[J].中华心血管病杂志,2004,32:51-52.
- 3 汪芳,李卫,黄洁,等.血浆N末端原脑利钠肽水平对慢性心力衰竭患者长期预后的预测价值[J].中华心血管病杂志,2006,34:28-32.
- 4 Alan S,Peter A.Cardiac natriuretic peptides:A potential window to cardial function and clinical management.Rev Cardiovasc Med,2003,4:S3-12.
- 5 Nakagawa0,OgawaY.Itoh H.et al.Rapid transcriptional activation and early mRNA turnover of brain natriuretic peptide in cardiocyte hy-pertrophy:evidence for brain natriuretic peptide as an"emergency"Car-diac hormone against ventricular overlood.J clin Invest,1995,96(3):1280-1287.
- 6 Yeo KT,Wu AH,Maeda K,etal.Multicenter evaluation of Roche NT-ProBNP assay and comparison to the Biosite Triage BNP assay.Clin Chim Acta,2003,338:107-115.
- 7 DavosM,EspinerE,Richards G,etal.Plasma brain natrinuretic pep-tide in assessment of acute dyspnoea.Lancet,1994,343:440~444.
- 8 Maisel AS,KrishnaswaaamyP,Nowak RM,et al.Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart fail-ure.N Engl J Med,2002,347:161-167.