cTnIMyoCK―MB联合检测对急诊胸痛危险分层价值分析.docVIP

cTnIMyoCK―MB联合检测对急诊胸痛危险分层价值分析 　　【摘要】 目的：分析cTnI、Myo、CK-MB联合检测对急诊胸痛危险分层的价值，为临床提供参考依据。方法：采用计算机随机抽取的方式，抽取2012年12月-2014年3月入住本院的150例急诊胸痛患者（急诊胸痛组）和无胸痛症状的35例健康体检者（对照组）作为本次的研究对象，对两组均实施cTnI、Myo、CK-MB联合检测，分析比较两组cTnI、Myo、CK-MB检测结果。结果：急诊胸痛组cTnI、Myo、CK-MB检测结果分别为（8.56±1.39）ng/mL、（245.28±31.58）ng/mL、（14.68±3.46）ng/mL，均显著高于对照组（P0.05）；且高危、中低危组cTnI、Myo、CK-MB检测结果比较，差异均有统计学意义（P0.05）。结论：cTnI、Myo、CK-MB联合检测对急诊胸痛危险分层具有显著的临床价值，可为临床医师提供重要的参考依据。 　　【关键词】 cTnI； Myo； CK-MB； 急诊胸痛； 危险分层； 价值 　　【Abstract】 Objective：To analyze the value of combined detection of cTnI，Myo and CK-MB in the risk stratification of emergency chest pain，and to provide reference for clinical treatment.Method：Using the computer randomly selected mode，extraction admitted to our hospital 150 patients with chest pain in the emergency department from December 2012 to March 2014（emergency chest pain group） and no chest pain symptoms of 35 cases of healthy persons（the control group） were selected as the research objects of this experiment，two groups were implemented cTnI，Myo，CK-MB combination detection，cTnI，Myo，CK-MB assay results of two groups were analyzed and compared.Result：Emergency chest pain group of cTnI，Myo，CK-MB assay results were （8.56±1.39）ng/mL，（245.28±31.58）ng/mL，（14.68±3.46）ng/mL，which were significantly higher than those of the control group（P0.05）.And high risk group and low risk group of chest pain in emergency patients，cTnI，Myo，CK-MB between two groups there were statistical significance（P0.05）.Conclusion：Combined detection of cTnI，Myo and CK-MB has significant clinical value in the risk stratification of emergency chest pain，which can provide an important reference for clinical physicians. 　　【Key words】 cTnI； Myo； CK-MB； Emergency chest pain； Risk stratification； Value 　　First-author’s address：The Sixth People’s Hospital of Huizhou City，Huizhou 516211，China 　　doi：10.3969/j.issn.1674-4985.2016.21.029 　　急性胸痛属于临床急诊科常见的病症之一，具有起病急、病情危急以及猝死率高等临床特点，较多的心血管疾病可引发机体出现急性胸痛，如常见的心血管病包括急性主动脉夹层、急性肺栓塞、急性冠脉综合征等，该类疾病往往病情较凶险